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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 573616993
Report Date: 11/14/2019
Date Signed: 11/15/2019 09:25:25 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/06/2019 and conducted by Evaluator Marissa Soto
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20191106153540
FACILITY NAME:PRASAD, TINAFACILITY NUMBER:
573616993
ADMINISTRATOR:PRASAD, TINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 371-0961
CITY:WEST SACRAMENTOSTATE: CAZIP CODE:
95691
CAPACITY:14CENSUS: 11DATE:
11/14/2019
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Tina PrasadTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Facility operating out of ratio
INVESTIGATION FINDINGS:
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This is an amended report of original report dated 11/14/19.
Licensing Program Analyst (LPA) Marissa Soto met with Tina Prasad for an unannounced inspection for the purpose of initiating a complaint investigation. Upon arrival, present in the facility was Licensee supervising 9 children without an assistant present. During the inspection Licensee's husband showed up with two other children which made todays census 11 children.

LPA obtained a current roaster, reviewed childrens files.

Based on LPA's observations, there is a preponderence of evidence to substantiate the above allegation, therefore the allegation is Substantiated.

Title 22 deficiency cited on the following LIC 9099D.

An exit interview was conducted and appeal rights provided.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Marissa SotoTELEPHONE: (916) 926-9488
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 53-CC-20191106153540
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: PRASAD, TINA
FACILITY NUMBER: 573616993
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/14/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/15/2019
Section Cited
CCR
102416.5(e)
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102416.5 (e) Staffing Ratio and Capacity (e) if no assistant provider is present at a large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c). This requirement was not as evidence by,
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Licensee states that she understand when there is not an assistant present that she will revert back to a small license. LPA will have to conduct a second inspection to verify compliance.
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On today's inspection LPA observed Licensee caring for 9 children (9 preschoolers) without an assistant present.This is a violation that poses an immediate risk to the health and safety of the children in care.
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Type B
HSC
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Marissa SotoTELEPHONE: (916) 926-9488
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2019
LIC9099 (FAS) - (06/04)
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