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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343608841
Report Date: 01/07/2022
Date Signed: 01/07/2022 11:30:25 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
10/18/2021 and conducted by Evaluator Fabiola Diaz
COMPLAINT CONTROL NUMBER: 03-CC-20211018121206
FACILITY NAME:SOMETHING EXTRA PRESCHOOL & CHILDCAREFACILITY NUMBER:
343608841
ADMINISTRATOR:THROCKMORTON, JAMIEFACILITY TYPE:
850
ADDRESS:7916 AZTEC WAYTELEPHONE:
(916) 348-0712
CITY:ANTELOPESTATE: CAZIP CODE:
95843
CAPACITY:73CENSUS: 0DATE:
01/07/2022
ANNOUNCEDTIME BEGAN:
10:03 AM
MET WITH:Jamie ThrockmortonTIME COMPLETED:
10:18 AM
ALLEGATION(S):
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Parent was denied entry to facility.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Fabiola Diaz conducted a tele-inspection due to COVID-19 and spoke with Site Supervisor Jamie Throckmorton to close a complaint investigation, regarding the above allegation.

During the investigation LPA conducted interviews and gathered documents pertaining to the investigation. It was alleged that Parent 1 was denied entry to the facility. Staff and parent interviews corroborated with the allegation. Site Supervisor explained that due to COVID-19 protocols, the facility was restricting parents from entering the classrooms after the initial facility tour. Site Supervisor explained that she was not aware that parents were able to go inside the classrooms during COVID-19, and thought that staff were following the current COVID-19 guidance. Based on LPA’s investigation the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED.
A Title 22 deficiency is cited on the subsequent page of this report. An exit interview was conducted. Appeal rights and a copy of this document will be provided by e-mail to the Site Supervisor. LPA requested that the Site Supervisor acknowledge receipt of this report by e-mailing a signed copy to LPA.


Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Fabiola Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2022
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-20211018121206
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: SOMETHING EXTRA PRESCHOOL & CHILDCARE
FACILITY NUMBER: 343608841
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/07/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/10/2022
Section Cited
CCR
101218.1(b)(1)
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101218.1 ...Authorized Representative's Rights (b)...the licensee shall inform each child's parent or authorized representative of his/her rights...(1) To enter and inspect the child care center in accordance with Health and Safety Code Section 1596.857. This requirement was not met as evidenced by:
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Site Supervisor stated that she already discussed with staff about Parents' Rights and their right to enter the facility, but will talk to them again. Site Supervisor stated she will be updating the "Hot Sheet" to let parents know that parents just have to let staff know of the

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Based on interviews, the licensee did not ensure that Parent 1 was allowed to enter and inspect the child care center when Child 1 was present, upon Parent 1's request.
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 reason for their entry to the facility, and will be allowed to enter the facility. Site Supervisor e-mailed LPA explaining this Plan of Correction (POC). POC was cleared as of today.
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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: Roxana Saravia
LICENSING EVALUATOR NAME: Fabiola Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2022
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
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
10/18/2021 and conducted by Evaluator Fabiola Diaz
COMPLAINT CONTROL NUMBER: 03-CC-20211018121206

FACILITY NAME:SOMETHING EXTRA PRESCHOOL & CHILDCAREFACILITY NUMBER:
343608841
ADMINISTRATOR:THROCKMORTON, JAMIEFACILITY TYPE:
850
ADDRESS:7916 AZTEC WAYTELEPHONE:
(916) 348-0712
CITY:ANTELOPESTATE: CAZIP CODE:
95843
CAPACITY:26CENSUS: 0DATE:
01/07/2022
ANNOUNCEDTIME BEGAN:
10:03 AM
MET WITH:Jamie ThrockmortonTIME COMPLETED:
10:18 AM
ALLEGATION(S):
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9
Child being left in wet clothing.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Fabiola Diaz conducted a tele-inspection due to COVID-19 and spoke with Site Supervisor Jamie Throckmorton to close a complaint investigation, regarding the above allegation.

During the investigation LPA made observations, conducted interviews and gathered documents pertaining to the investigation. It was alleged that Child 1 was being left in wet clothing from urine. Staff and Parent interviews had conflicting statements with regards to Child 1 being left in wet clothing. Several staff and parent interviews disclosed that the children’s clothes are changed when children have potty accidents, and parents are notified of potty accidents. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.
An exit interview was conducted. Appeal rights and a copy of this document will be provided by e-mail to the Site Supervisor. LPA requested that the Site Supervisor acknowledge receipt of this report by e-mailing a signed copy to LPA.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Fabiola Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2022
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