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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 093624710
Report Date: 06/25/2024
Date Signed: 06/25/2024 01:10:03 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/15/2024 and conducted by Evaluator Erwina Pascual-Golamco
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20240415085841
FACILITY NAME:SMART START PRESCHOOL CAMERON PARKFACILITY NUMBER:
093624710
ADMINISTRATOR:JAYNE, AMBERFACILITY TYPE:
850
ADDRESS:2558 GREENWOOD LANE SUITE ATELEPHONE:
(916) 303-0851
CITY:CAMERON PARKSTATE: CAZIP CODE:
95682
CAPACITY:38CENSUS: 18DATE:
06/25/2024
UNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Jacklyn ToddTIME COMPLETED:
01:35 PM
ALLEGATION(S):
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Day care child sustained unexplained injury while in care due to lack of supervision
INVESTIGATION FINDINGS:
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Licensing Program Analyst Erwina Pascual-Golamco (LPA) met with Director, Jacklyn Todd, to deliver findings. LPA toured the facility, including all activity and classroom spaces, and outdoor play areas. Director was reminded never to exceed the conditions, limitations, and capacity specified on the license.

It was alleged that day care child sustained unexplained injury while in care due to lack of supervision. Throughout the course of the investigation, LPA toured the facility, observed staff provide care to children, reviewed documentation, and conducted interviews. LPA interviews, witness statements, and documentation revealed that the facility follows the 12 children to 1 staff ratio, and sometimes 9 children to 1 staff ratio. During outdoor play, they have staff at each point of the playground, and children are not unattended. Parents/Guardians are notified through phone calls, messaged through ProCare App, and written reports given when a child sustains an injury while in care. Although an incident occurred when a child sustained an unexplained injury, the facility communicated with the parents/guardians and documented an injury report.
continued on LIC9099-C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2024
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 03-CC-20240415085841
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: SMART START PRESCHOOL CAMERON PARK
FACILITY NUMBER: 093624710
VISIT DATE: 06/25/2024
NARRATIVE
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 LPA interviews, observation, and facility documentation failed to corroborate the allegation that the injury was due to lack of supervision. Although the alleged violation may have happened or are valid, the preponderance of evidence standard has not been met to fully prove or disprove that it did or did not occur, therefore, it is UNSUBSTANTIATED.

This report was reviewed with Director, and an exit interview was conducted. Appeal Rights were provided and a Notice of Site Visit (NOS) was provided to Director, who will post it for a period of 30 days for parental review.
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2024
LIC9099 (FAS) - (06/04)
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