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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343614528
Report Date: 06/20/2023
Date Signed: 06/20/2023 11:15:02 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
06/13/2023 and conducted by Evaluator Gagandeep Singh
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20230613123844
FACILITY NAME:KREATIVE KIDS LEARNING CENTERFACILITY NUMBER:
343614528
ADMINISTRATOR:MILLS, BRIGINIAFACILITY TYPE:
830
ADDRESS:7020 WYNDHAM DR.TELEPHONE:
(916) 689-3777
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY:25CENSUS: 6DATE:
06/20/2023
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Briginia MillsTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Day care child was injured by staff.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Gagandeep Singh met with the director, Briginia Mills, to investigate and deliver the findings for the above allegations. Purpose of the inspection was explained.

During the investigation, LPA inspected the facility, interviewed staff and reviewed the video recording of the classroom. Based on the informaion collected, it was found that a staff member was holding one child and as the child slide down from the staff to the ground, the child got injured by the personal items that staff was carrying. LPA saw the pictures of the injury and found that the child had injury on stomach and the skin was broke. Based on LPAs observations and interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, are being cited on the attached LIC 9099D. See next page for citation given today. Copy of this report was reviewed and provided to the facility representative. Notice of site visit is posted and shall remain posted for next 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2023
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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Control Number 03-CC-20230613123844
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: KREATIVE KIDS LEARNING CENTER
FACILITY NUMBER: 343614528
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/20/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/30/2023
Section Cited
CCR
101223(a)(2)
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Personal Rights-The licensee shall ensure that each child is accorded the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement is not met as evidenced through video recording and
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Facility agreed to conduct the trainig for all staff regarding carrying personal items on staff. Facility will provide the training agenda and staff sign in record to the LPA.
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interviews, it was found that the child was injured by the personal items, which were worn by the staff. This poses a potential Health and Safety risk to children 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: Natalie Dunaway
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2