313606221-1-19-2024-03-CC-KPES-CZUP96-20240126100634

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 313606221
Report Date: 01/18/2024
Date Signed: 01/19/2024 12:31:31 PM

Substantiated

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
01/12/2024 and conducted by Evaluator Katrina Owens

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20240112093043

FACILITY NAME:	KNOWLEDGE BEGINNINGS - SANTA CLARA (PS)		FACILITY NUMBER:	313606221
ADMINISTRATOR:	CAROL WILLIAMS		FACILITY TYPE:	850
ADDRESS:	1741 SANTA CLARA DRIVE		TELEPHONE:	(916) 784-3331
CITY:	ROSEVILLE	STATE: CA	ZIP CODE:	95661
CAPACITY:	102	CENSUS: 60	DATE:	01/18/2024
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Colleen Miller - Assistant Director		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

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RATIO: Staff is operating facility out of ratio

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPA) Jeremey McClain and Katrina Owens met with facility representative Colleen Miller for the purpose of a complaint investigation. At approximately 1:00 pm, LPAs observed seven children supervised by one staff, 17 children supervised by one staff, 24 children supervised by one staff, and 12 children supervised by one staff. During the census, all children were napping.

It was alleged that the facility is operating over ratio. LPAs conducted interviews with staff and reviewed Children Supervision Records (CSRs).
The preponderance of evidence standard has been met; therefore, the is SUBSTANTIATED. Continued on next page.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Katrina Owens	TELEPHONE: (916) 879-1175
LICENSING EVALUATOR SIGNATURE:	DATE: 01/18/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 03-CC-20240112093043

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: KNOWLEDGE BEGINNINGS - SANTA CLARA (PS)	FACILITY NUMBER: 313606221
	VISIT DATE: 01/18/2024

NARRATIVE

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Title 22 deficiencies are cited on the subsequent page of this report. If not corrected, these violations pose an immediate risk to the health and safety of children in care. Facility representative acknowledges, that upon receipt TYPE A DEFICIENCIES, a LIC 9099-D with Type A deficiencies shall be posted for 30 days. Facility representative also acknowledges that they must provide copies of this licensing report to parents/guardians of children in care and to parents/guardians of children newly enrolled at the facility during the next 12 months. LPA provided an LIC 9224, which must be signed by parents/guardians and kept with the children's files. Appeal Rights were provided. An exit interview was conducted with facility representative Colleen Miller. A Notice of Site Visit was provided and shall remain posted for 30 days.

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Katrina Owens	TELEPHONE: (916) 879-1175
LICENSING EVALUATOR SIGNATURE:	DATE: 01/18/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 03-CC-20240112093043

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: KNOWLEDGE BEGINNINGS - SANTA CLARA (PS)	FACILITY NUMBER: 313606221
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/18/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 01/22/2024 Section Cited CCR 101216.3(a)	1 2 3 4 5 6 7	Teacher-Child Ratio (a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below. This requirement was not met as evidenced by staff interviews and LPA observations of CSRs. Evidence concluded that the Transitions classroom was over ratio on 1/18/2024, when a staff was supervising 18 children by themselves. Evidence was sufficient to support that this has occurred in the past. If not corrected, this is an immediate risk to the health and safety of children in care.	1 2 3 4 5 6 7	Assistant director stated that she will adjust schedules so that there is an extra staff in the in Transitions classroom to prevent the classroom from being over ratio. A schedule will provided to LPA. LPA will return to
	8 9 10 11 12 13 14		8 9 10 11 12 13 14	observe ratios.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Katrina Owens	TELEPHONE: (916) 879-1175
LICENSING EVALUATOR SIGNATURE:	DATE: 01/18/2024

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2024

LIC9099 (FAS) - (06/04)

Page: 3 of 4