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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313622381
Report Date: 11/28/2023
Date Signed: 11/28/2023 02:52:27 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
09/08/2023 and conducted by Evaluator Matthew Gallo
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20230908152412
FACILITY NAME:KIDS' PLACE, THE (PS)FACILITY NUMBER:
313622381
ADMINISTRATOR:JESSICA GAROFALOFACILITY TYPE:
850
ADDRESS:956 MEADOW GATE ROADTELEPHONE:
(530) 878-7875
CITY:MEADOW VISTASTATE: CAZIP CODE:
95722
CAPACITY:21CENSUS: 16DATE:
11/28/2023
UNANNOUNCEDTIME BEGAN:
02:35 PM
MET WITH:Jessica GarofaloTIME COMPLETED:
02:55 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Due to lack of supervision, child hit another child in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/28/2023, Licensing Program Analyst (LPA) Matthew Gallo met with director Jessica Garofalo to deliver findings regarding the above allegations. Upon arrival at 2:35pm, LPA observed a total census of 16 preschool children supervised by 3 staff.

It was alleged that, due to lack of supervision, a child hit another child in care. Throughout the investigation, LPA conducted observation, record review, and interviewed reporting party, staff, parents, and children. LPA was able to establish that a child suffered an eye injury that could be consistent with sand being thrown at the child. However, there is insufficient evidence to confidently determine when, where, and under what conditions of supervision the injury occurred. Therefore, the allegation is UNSUBSTANTIATED, meaning that although the allegation might have happened or is valid, there is not a preponderance of evidence to prove it. Exit interview conducted and report was reviewed with director Jessica Garofalo. A notice of site visit was given and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Matthew Gallo
LICENSING EVALUATOR SIGNATURE:

DATE: 11/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2023
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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