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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313625264
Report Date: 07/16/2024
Date Signed: 07/16/2024 11:37:05 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
07/11/2024 and conducted by Evaluator Katrina Owens
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20240711094906
FACILITY NAME:BUILDING KIDZ OF ROSEVILLE WESTFACILITY NUMBER:
313625264
ADMINISTRATOR:PUNEET NATHANIFACILITY TYPE:
860
ADDRESS:945 ROSEVILLE PARKWAY #120TELEPHONE:
(916) 782-5437
CITY:ROSEVILLESTATE: CAZIP CODE:
95678
CAPACITY:64CENSUS: 28DATE:
07/16/2024
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Jessica Peoples- DirectorTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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PERSONAL RIGHTS: Child sustained multiple injuries while in care.
PERSONAL RIGHTS: Staff did not prevent a child from biting other children in care.
INVESTIGATION FINDINGS:
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An unannounced inspection was conducted today by Licensing Program Analyst Owens and McClain. LPA's met with Director, Jessica Peoples. and Buneet Nathani, Partmer. The purpose of the inspection was to open and close a complaint investigation. Present at time of inspection were 21 preschool children with 2 staff and 9 infants with 2 staff. Interviews were conducted and LPA obtained documents relevant to the investigation.

Based on interviews and documentation a child in the infant program has bitten multiple children, multiple times, leaving marks/bruises. Staff have been present during the biting, however the staff was unable to intervene to prevent the bite and the child has continued to bit other children. A preventative plan has not been put in place to prevent the child from biting. The preponderance of evidence standard has been met during this investigation, therefore the above allegation is found to be SUBSTANTIATED. Violations of the California Code of Regulations, Title 22, Division 12 & Chapter 3 are being cited on the attached LIC9099D.

This is a Type A deficiency, hence AB633 Notification Applies: Upon receipt of this report, the report must be posted along with the notice of site visit for 30 days for parents to view. Licensee must inform the parents/guardians of children in care at the facility and to the parents/guardians of children newly enrolled at the facility during the next 12 months via form LIC 9224 Acknowledgement of Receipt of Licensing Reports.

Notice of site visit posted.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Katrina Owens
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2024
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 2
Control Number 03-CC-20240711094906
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: BUILDING KIDZ OF ROSEVILLE WEST
FACILITY NUMBER: 313625264
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/16/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
07/17/2024
Section Cited
CCR
101223(a)
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PERSONAL RIGHTS:
The licensee shall ensure that each child is accorded the following personal rights:
To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.
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The Director stated they will staff to have child shadowed one on one. If child continues to bite then possible termination will take place. .
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This requirement was not met by:
A child in the infant classroom has bitten multiple children, multiple times leaving marks/bruises. Staff have been present during the biting, however the staff was unable to intervene to prevent the bite and the child has continued to bit other children. A preventative plan has not been put in place to prevent the child from biting.
This is an immediate risk to a child.
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LPA reviewed and gave director the LIC 9224 at time of inspection.
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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: 07/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2