343619162-12-9-2021-03-CC-MMAA-C9T2RR-20211217163755

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343619162
Report Date: 12/09/2021
Date Signed: 12/09/2021 12:12:39 PM

Unsubstantiated

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
11/03/2021 and conducted by Evaluator Gagandeep Singh

COMPLAINT CONTROL NUMBER: 03-CC-20211103143208

FACILITY NAME:	SPARKS-FOURNIER, SUSAN & FOURNIER, MICHAEL		FACILITY NUMBER:	343619162
ADMINISTRATOR:	SPARKS-FOURNIER, SUSAN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(916) 363-5437
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95826
CAPACITY:	14	CENSUS: 10	DATE:	12/09/2021
		UNANNOUNCED	TIME BEGAN:	11:35 AM
MET WITH:	Susan Sparks-Fournier		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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9

Staff slapped infant in care.
Staff handled children in care in a rough manner.

INVESTIGATION FINDINGS:

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13

Licensing Program Analyst (LPA) Gagandeep Singh met with licensee, Susan Spark-Fournier, to deliver the findings of the complaint alleging the above allegations.

During the investigation, LPA inspected the facility, interviewed random children and the staff. Based on the information collected, it was found that the facility had a staff member, who used loud voice among children, but did not get any evidence to support of the staff slapping an infant and for staff handling the child in rough manner. Although the allegation 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 allegation is unsubstantiated. Copy of this report is reviewed and provide to the licensee.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Maria Mayorga
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE:	DATE: 12/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2021

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

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
11/03/2021 and conducted by Evaluator Gagandeep Singh

COMPLAINT CONTROL NUMBER: 03-CC-20211103143208

FACILITY NAME:	SPARKS-FOURNIER, SUSAN & FOURNIER, MICHAEL		FACILITY NUMBER:	343619162
ADMINISTRATOR:	SPARKS-FOURNIER, SUSAN		FACILITY TYPE:	810
ADDRESS:	9423 TORCHY COURT		TELEPHONE:	(916) 363-5437
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95826
CAPACITY:	14	CENSUS: 10	DATE:	12/09/2021
		UNANNOUNCED	TIME BEGAN:	11:35 AM
MET WITH:	Susan Sparks-Fournier		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff yelled at children in care.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Gagandeep Singh met with licensee, Susan Spark, to deliver the findings of the complaint alleging the above allegations.
During the investigation, LPA inspected the facility, interviewed random children and the staff. Based on the information collected, it was found that the facility had a staff member, who used loud voice among children. It was found that the licensee had addressed the issued and provided the proper training to the staff member. Based on LPAs observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations are being cited on the attached LIC 9099D. Copy of this report is reviewed and provide to the licensee.
A Type “A” violation (see continuation) was issued today. The facility is informed to provide a copy of the Evaluation Report and the Type “A” Deficiency cited to the parents and guardians of children currently enrolled in care and to parents of newly enrolled children during the next 12 months. A signed and dated LIC 9224 shall be maintained in all Children's files. This report and appeal rights were provided and reviewed with the licensee. Notice of Site Visit shall remain posted for 30 days.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Maria Mayorga
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE:	DATE: 12/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2021

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

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 03-CC-20211103143208

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: SPARKS-FOURNIER, SUSAN & FOURNIER, MICHAEL	FACILITY NUMBER: 343619162
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/09/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 12/08/2021 Section Cited CCR 102423(a)(1)	1 2 3 4 5 6 7	Personal Rights: To be treated with dignity in his/her personal relationship with staff and other persons. This requirement is not met as evidenced by it was found during the interviewes that a staff member was loud around the children. This poses an immediate health and safety risk to children in care.	1 2 3 4 5 6 7	The licensee provided the training to the staff about the children's personal rights. The accused staff member is no longer working at this facility.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Maria Mayorga
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE:	DATE: 12/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2021

LIC9099 (FAS) - (06/04)

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