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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313623043
Report Date: 08/23/2024
Date Signed: 08/23/2024 11:54:28 AM

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
07/08/2024 and conducted by Evaluator Jeremey McClain
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20240708095557
FACILITY NAME:BUILDING KIDZ SCHOOL - EUREKA (PS)FACILITY NUMBER:
313623043
ADMINISTRATOR:JO ANN FERNANDEZFACILITY TYPE:
850
ADDRESS:1485 EUREKA RD, STE G170TELEPHONE:
(916) 780-5437
CITY:ROSEVILLESTATE: CAZIP CODE:
95661
CAPACITY:58CENSUS: 11DATE:
08/23/2024
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:David TuckerTIME COMPLETED:
12:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff inappropriately touched a daycare child
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Jeremey McClain met with licensing representative David Tucker in order to deliver findings for a complaint investigation. LPA observed 11 preschool children supervised by three teachers. There were allegations that Child 1 was inapprorpiately touched by Staff 1 while in care.
During today’s inspection, LPA conducted interviews with staff and obtained documents pertinent to the investigation.
During the investigation, the allegation was investigated by roseville police department, and the Califonia Department of Social Services Community Care Licensing Investigations Branch. An MDIC interview was conducted with Child 1. The Roseville Police department decided not continue their investigation or press charges against Staff 1. Staff 1 and Staff 2 were also interviewed during the investigation. There was not enough evidence to corroborate or dismiss the allegation, therefore the finding is UNSUBSTANTIATED.
No Title 22 Deficiencies will be issued as a result of the investigation. LPA reviewed this report with licensing representative. A Notice of Site Visit was provided and must be posted for 30 days. LPA provided appeal rights.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2024
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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