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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313606222
Report Date: 01/18/2024
Date Signed: 01/19/2024 07:15:59 AM

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-20240112100519
FACILITY NAME:KNOWLEDGE BEGINNINGS - SANTA CLARA (INFANT)FACILITY NUMBER:
313606222
ADMINISTRATOR:CAROL WILLIAMSFACILITY TYPE:
830
ADDRESS:1741 SANTA CLARA DRIVETELEPHONE:
(916) 784-3331
CITY:ROSEVILLESTATE: CAZIP CODE:
95661
CAPACITY:48CENSUS: 23DATE:
01/18/2024
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Colleen Miller - Assistant DirectorTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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RATIO: Staff are operating the 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 four infants supervised by one staff, seven infant supervised by one staff, and 12 children supervised by two 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 allegation is SUBSTANTIATED. Continued on next page.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Katrina Owens
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)
Page: 1 of 3
Control Number 03-CC-20240112100519
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 (INFANT)
FACILITY NUMBER: 313606222
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.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Katrina Owens
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 3
Control Number 03-CC-20240112100519
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 (INFANT)
FACILITY NUMBER: 313606222
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
101416.5
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Staff-Infant Ratio:
(a) In addition to Sections 101216.3 (c), (e), (g) and (h), and notwithstanding Sections 101216.3, (a), (b), (d) and (f), the following shall apply:

(b) There shall be a ratio of one teacher for every four infants in attendance.
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Assistant Director stated that they will have a qualified staff member work in the infant room when needed in order to stay in ratio. A schedule will provided to LPA. LPA will return to make an observation of ratio.
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This requirement was not met as evidenced by staff interviews.
Evidence was sufficient that one staff supervised 5 infants in the Infant classroom, and two staff have supervised 9 infants in the Waddler Classroom on multiple occasions.
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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.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Katrina Owens
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 3