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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313624161
Report Date: 07/03/2024
Date Signed: 07/03/2024 09:49:12 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
06/11/2024 and conducted by Evaluator Jeremey McClain
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20240611093416
FACILITY NAME:CHILDTIME LEARNING CENTERFACILITY NUMBER:
313624161
ADMINISTRATOR:JANDE BEITPOLOUSFACILITY TYPE:
850
ADDRESS:1622 SIERRA GARDENS DRIVETELEPHONE:
(248) 697-9000
CITY:ROSEVILLESTATE: CAZIP CODE:
95661
CAPACITY:90CENSUS: 35DATE:
07/03/2024
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Pamela NascaTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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9
Day care child sustained unexplained injury while in care
Staff left day care child in soiled diaper for extended period of time
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jeremey McClain met with facility representatives Pamela Nasca and Franklin Bay to deliver findings for a complaint investigation. LPA observed 35 children supervised by four staff.
The following was alleged:
1) Day care child sustained unexplained injury while in care.
2) Staff left day care child in soiled diaper for extended period of time.
During the investigation, LPA reviewed incident reports, conducted interview with staff and parents. An incident occurred between two children on 06/05/2024 that resulted in a bloody nose. Based on interviews, LPA determined that although staff did not see the incident directly, the explanation of the incident was consistent amongst staff. LPA determined that it did not meet the level of lack of supervision.
Staff interviews were also consistent that a child may have had the same diaper all day, however there was no evidence to support that the diaper was soiled or full and needed to be changed. Continued on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Jeremey McClainTELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2024
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 4
Control Number 03-CC-20240611093416
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: CHILDTIME LEARNING CENTER
FACILITY NUMBER: 313624161
VISIT DATE: 07/03/2024
NARRATIVE
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The preponderance of evidence standard has not been met; therefore, the allegations are determined to be UNSUBSTANTIATED. The allegation can neither be corroborated nor dismissed.

No Title 22 deficiencies will be issued as a result of the investigation. LPA reviewed this report with facility representative Franklin Bay, and provided a Notice of Site Visit that must be posted for 30 days.
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Jeremey McClainTELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
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
06/11/2024 and conducted by Evaluator Jeremey McClain
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20240611093416

FACILITY NAME:CHILDTIME LEARNING CENTERFACILITY NUMBER:
313624161
ADMINISTRATOR:JANDE BEITPOLOUSFACILITY TYPE:
850
ADDRESS:1622 SIERRA GARDENS DRIVETELEPHONE:
(248) 697-9000
CITY:ROSEVILLESTATE: CAZIP CODE:
95661
CAPACITY:90CENSUS: 35DATE:
07/03/2024
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Pamela NascaTIME COMPLETED:
10:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not notify day care child's authorized representative of incident involving child
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Jeremey McClain met with facility representatives Pamela Nasca and Franklin Bay to deliver findings for a complaint investigation. LPA observed 35 children supervised by four staff.
The following was alleged:
Staff did not notify day care child's authorized representative of incident involving child.
During the investigation, LPA reviewed incident reports, admissions agreements, and conducted interviews with staff and parents. An incident occurred between two children on 06/05/2024 that resulted in a bloody nose. The family was not notified during the day, as the facility planned to inform the parents during pick up. Due to a lapse in communication amongst staff, the incident was not reported to the child’s parents during pick up. The child notified the parents of the injury during the same evening, and the parents discussed the parents and lack of communication with the administration the following day.
Continued on 9099-C...
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Jeremey McClainTELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 03-CC-20240611093416
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: CHILDTIME LEARNING CENTER
FACILITY NUMBER: 313624161
VISIT DATE: 07/03/2024
NARRATIVE
1
2
3
4
5
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7
8
9
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12
13
14
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Interviews with staff were consistent that the facility did not immediately notify parents because the child had stopped bleeding, and appeared to be fine the rest of the day based on their observation.

The preponderance of evidence standard has been met; therefore, the allegation is SUBSTANTIATED.

A technical violation was issued as a result of the investigation. LPA reviewed this report with facility representative Franklin Bay, and provided a Notice of Site Visit that must be posted for 30 days. LPA provided Appeal Rights.
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Jeremey McClainTELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4