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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343604550
Report Date: 01/12/2024
Date Signed: 01/12/2024 12:04:41 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
10/19/2023 and conducted by Evaluator Amanda Sutter
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20231019083754
FACILITY NAME:SKILLS CHILDREN'S CENTERFACILITY NUMBER:
343604550
ADMINISTRATOR:HETZEL, DANIELLEFACILITY TYPE:
850
ADDRESS:5451 LEMON HILL AVE.TELEPHONE:
(916) 433-2655
CITY:SACRAMENTOSTATE: CAZIP CODE:
95824
CAPACITY:50CENSUS: 16DATE:
01/12/2024
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Teresa PerezTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Staff yells at children.
Staff handled children in a rough manner.
INVESTIGATION FINDINGS:
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On Friday, January 12, 2024, Licensing Program Analysts (LPAs) Amanda Sutter and Soleil Marx met with Site Supervisor Theresa Perez to deliver findings regarding the above allegations. LPA observed 16 children supervised by 3 staff. It was alleged that staff yells at children and that staff handled children in a rough manner.

LPAs conducted interviews and made observations throughout the course of the investigation. Based on interviews conducted, LPAs learned that a staff member has yelled at children and spoken to children inappropriately. LPAs have also learned that staff member has handled children in a rough manner. Based on LPAs interviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

CONTINUED ON LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Amanda Sutter
LICENSING EVALUATOR SIGNATURE:

DATE: 01/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2024
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-20231019083754
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: SKILLS CHILDREN'S CENTER
FACILITY NUMBER: 343604550
VISIT DATE: 01/12/2024
NARRATIVE
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THIS IS AN AMENDED REPORT

One Title 22 Deficiency has been issued on the attached LIC 809-D. The Site Supervisor was informed that this report dated 1/12/2024 documents one Type A citation which shall be posted for 30 consecutive days. The Site Supervisor shall also provide a copy of this licensing report 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. Site Supervisor has been provided with appeal rights. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Site Supervisor Theresa Perez.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Amanda Sutter
LICENSING EVALUATOR SIGNATURE:

DATE: 01/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20231019083754
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: SKILLS CHILDREN'S CENTER
FACILITY NUMBER: 343604550
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/12/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/16/2024
Section Cited
CCR
101223(a)(3)
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101223 Personal Rights (a)(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...
This regulation was not met as evidenced by:
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Site Supervisor will develop a detailed written plan to address challenges during transition time in order to eliminate potential rights violation. Supervisor will also review CCLD videos regarding personal rights and will ensure all staff have been sufficiently trained in children's personal rights.
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Based on interview, LPA learned that a staff member yelled at children and handled children in a rough manner, which poses an immediate health, safety or personal rights risk to persons in care.
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Site supervior will email plan and proof of video review to LPA by due date.
Amanda.Sutter@dss.ca.gov.
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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: Seychelle De Luca
LICENSING EVALUATOR NAME: Amanda Sutter
LICENSING EVALUATOR SIGNATURE:

DATE: 01/12/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2024
LIC9099 (FAS) - (06/04)
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