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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343603476
Report Date: 08/22/2024
Date Signed: 08/22/2024 03:20:22 PM

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
07/01/2024 and conducted by Evaluator Fabian Schwartz
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20240701153757
FACILITY NAME:SETA - NORTHVIEW HEAD STARTFACILITY NUMBER:
343603476
ADMINISTRATOR:STACY PHILLIPSFACILITY TYPE:
850
ADDRESS:2401 NORTHVIEW AVENUETELEPHONE:
(916) 563-5374
CITY:SACRAMENTOSTATE: CAZIP CODE:
95833
CAPACITY:98CENSUS: 47DATE:
08/22/2024
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Stacy PhillipsTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Personal Rights - Teacher pulled child by arm in a rough manner
INVESTIGATION FINDINGS:
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On Thursday, 22 August 24 at approximately 2:00 pm, Licensing Program Analyst (LPA) Fabian Schwartz and Licensing Program Manager (LPM) Amanda Blesi met with center director Stacy Phillips to deliver findings of a complaint investigation. Upon arrival, there were 47 napping preschoolers being supervised by 11 staff.

It was alleged that a teacher pulled a child by their arm in a rough manner. Throughout the course of the investigation, LPA conducted interviews, reviewed documents, and made observations. Through interviews, LPA received multiple confirmations of teacher demonstrating physical behavior and inappropriate verbal communication toward children.

.......Report continued on LIC9099-C.......
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Fabian Schwartz
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2024
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 3
Control Number 03-CC-20240701153757
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: SETA - NORTHVIEW HEAD START
FACILITY NUMBER: 343603476
VISIT DATE: 08/22/2024
NARRATIVE
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Page 2. Report Continued from LIC9099........

Therefore, based on evidence gathered, the preponderance of evidence standard has been met, and the allegation is substantiated. The Department is issuing a Type A citation regarding the Personal Rights violation.

Title 22 deficiencies are cited on the subsequent pages of this report. Director acknowledges, that FOR TYPE A DEFICIENCIES ONLY upon receipt, licensee shall post LIC9099_D with Type A deficiencies for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. LIC 9224 must be signed by parents/guardians and kept with the children's forms as a receipt whenever any Type A documents are provided by the Licensee. LIC 9224 and Appeal Rights were provided. Directors signature on this report acknowledges receipt of these rights.

Upon receipt, facility representative shall post and provide copies of this licensing report to parents/ guardians of children who are currently enrolled as well as parents/ guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must acknowledge receipt of this report and citation by signing a LIC9224, “ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS”. A copy of this form should be placed in each child file upon receipt from parent.

This report was reviewed with the Director and an exit interview was conducted. A Notice of Site Visit was provided and shall remain posted for a period of 30 days. Appeal rights were printed and provided.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Fabian Schwartz
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20240701153757
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: SETA - NORTHVIEW HEAD START
FACILITY NUMBER: 343603476
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
08/23/2024
Section Cited
CCR
101223(a)(3)
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101223 PERSONAL RIGHTS
(a) The licensee shall ensure that each child is accorded the following personal rights:(3) 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.
This requirement is not met as evidenced by:
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Director will conduct a training with staff about children's personal rights at next staff meeting and submit synopsis of training to LPA by end of day 23 Aug 24 and a list of staff attending the meeting when it is conducted.
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Based on interviews, the licensee did not comply with the section cited above when it was discovered through interviews that Staff #1 pulled Child #1 by the arm which poses an immediate health, safety or personal rights risk to persons in care.
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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: Amanda Blesi
LICENSING EVALUATOR NAME: Fabian Schwartz
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3