313623740-3-15-2022-03-CC-KPES-CCTR45-20220324124055

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 313623740
Report Date: 03/15/2022
Date Signed: 03/15/2022 10:48:59 AM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/27/2022 and conducted by Evaluator Amanda Blesi

COMPLAINT CONTROL NUMBER: 03-CC-20220127141809

FACILITY NAME:	TNT KIDZ CENTER		FACILITY NUMBER:	313623740
ADMINISTRATOR:	SHALON WARNER		FACILITY TYPE:	850
ADDRESS:	4500 TUTTLE DRIVE		TELEPHONE:	(916) 259-1115
CITY:	ROCKLIN	STATE: CA	ZIP CODE:	95677
CAPACITY:	56	CENSUS: 30	DATE:	03/15/2022
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Emily Balga		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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Masking Requirements are not being followed
Personal Rights: Child’s diapering needs were not met:

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPAs) Amanda Blesi and Amanda Sutter arrived unannounced to the facility on March 15, 2022, at approximately 9:45am. LPAs met with owner Emily Balga to deliver findings for the above complaint which was received on January 27, 2022. It was alleged staff do not wear a face covering, indoors during the period of time when it was required by California Department of Health. On 1/5/2022 and 1/31/22, LPA did not observe staff and children wearing a face covering. It was also alleged that a child’s diapering needs were not met. During the investigation LPA obtained evidence which showed Child #1 (C1) photographed on the playground with a wet diaper that had become so saturated that it had slipped off and settled in the bottom leg of the child’s sweatpants. Staff interviewed reported they had attempted to change C1, however C1 had become combative so the staff just left C1 in a wet diaper. It was estimated C1 remained in a wet diaper over the course of several hours. The preponderance of evidence standard was met; therefore, the above allegations are substantiated.

Report is continued on the following page LIC 9099-C

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Amanda Blesi
LICENSING EVALUATOR SIGNATURE:	DATE: 03/15/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2022

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-20220127141809

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: TNT KIDZ CENTER	FACILITY NUMBER: 313623740
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/15/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 03/16/2022 Section Cited CCR 101223(2)	1 2 3 4 5 6 7	Personal Rights:To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.	1 2 3 4 5 6 7	This deficiency was corrected immediately when the facility addressed the incident the same day with staff responsible for changing the child's diaper. Facility owners held a staff meeting about the importance of regular scheduled diaper changes as well as needed diapering.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by: On 1/5/22, C1 was left in a wet/soiled diaper for several hours. This is an immediate health and safety risk to children in care if not corrected.	8 9 10 11 12 13 14	Owner Emily will submit an agenda of the training and staff signatures of those who attended. This shall be done by 3/16/22.
	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.

SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Amanda Blesi
LICENSING EVALUATOR SIGNATURE:	DATE: 03/15/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 6

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/27/2022 and conducted by Evaluator Amanda Blesi

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20220127141809

FACILITY NAME:	TNT KIDZ CENTER		FACILITY NUMBER:	313623740
ADMINISTRATOR:	SHALON WARNER		FACILITY TYPE:	850
ADDRESS:	4500 TUTTLE DRIVE		TELEPHONE:	(916) 259-1115
CITY:	ROCKLIN	STATE: CA	ZIP CODE:	95677
CAPACITY:	56	CENSUS: 30	DATE:	03/15/2022
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Emily Balga		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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Lack of supervision: Child sustained multiple unexplained injuries while in care:

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Amanda Blesi and Amanda Sutter arrived unannounced to the facility on March 15, 2022 at approximately 9:45 AM. LPAs met with owners Emily Balga to deliver findings for the above complaint which was received on January 27, 2022. Child #1 (C1) sustained injuries while in care, however there was not enough evidence to prove the injuries were due to a lack of supervision. The preponderance of evidence standard has not been met; therefore, the allegation is determined to be unsubstantiated.

LPA reviewed this report with Licensee Emily and Kyle Balga.
A Notice of Site Visit was provided and must be posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Amanda Blesi
LICENSING EVALUATOR SIGNATURE:	DATE: 03/15/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2022

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

LIC9099 (FAS) - (06/04)

Page: 4 of 6

Control Number 03-CC-20220127141809

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: TNT KIDZ CENTER	FACILITY NUMBER: 313623740
	VISIT DATE: 03/15/2022

NARRATIVE

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Deficiencies are cited on the following page. See LIC 9099-D
A Technical Advisory is cited on the following page. See LIC 9102

LPA Amanda Blesi informed licensee Emily Balga that this report dated 3/15/22 document(s) one Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA Amanda Blesi informed the licensee to provide a copy of this licensing report dated March15, 2022 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with the licensee Emily Balga. Appeal Rights provided.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Amanda Blesi
LICENSING EVALUATOR SIGNATURE:	DATE: 03/15/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2022

LIC9099 (FAS) - (06/04)

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