343614527-12-7-2023-03-CC-NDUY-CYHTPZ-20231214135507

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343614527
Report Date: 12/07/2023
Date Signed: 12/07/2023 12:50:56 PM

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
10/09/2023 and conducted by Evaluator Gagandeep Singh

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20231009161945

FACILITY NAME:	KREATIVE KIDS LEARNING CENTER		FACILITY NUMBER:	343614527
ADMINISTRATOR:	MILLS, BRIGINIA		FACILITY TYPE:	850
ADDRESS:	7020 WYNDHAM DR.		TELEPHONE:	(916) 689-3777
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95823
CAPACITY:	57	CENSUS:	DATE:	12/07/2023
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Elizabeth Donkor & Van Bui		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Staff did not provide adequate supervision resulting in day care child being bitten multiple times.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Gagandeep Singh met with facility owner, Elizabeth Donkor, and director, Van Bui, to deliver the findings of the complaint alleging the above allegation.

During the investigation, LPA inspected the facility and interviewed the staff. During the investigation, it was found that during the time of the injury, there were three staff members present with the children. Per staff member, staff observed the incident and as staff approached the child, the injury was caused. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Copy of this report was reviewed and provided to the facility director, Van Bui. Notice of site visit is posted and shall remain posted for next 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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