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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343621676
Report Date: 08/09/2023
Date Signed: 08/09/2023 11:15:52 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. 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
07/20/2023 and conducted by Evaluator Katy Velazquez
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20230720114755
FACILITY NAME:LITTLE FLOWERS MONTESSORIFACILITY NUMBER:
343621676
ADMINISTRATOR:YIP, BONNIEFACILITY TYPE:
850
ADDRESS:7218 LAGUNA BLVDTELEPHONE:
(916) 684-5510
CITY:ELK GROVESTATE: CAZIP CODE:
95758
CAPACITY:177CENSUS: 33DATE:
08/09/2023
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Alina AnkrahTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Staff exposed day care child to hazardous cleaning product.
INVESTIGATION FINDINGS:
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On 08/09/2023, Licensing Program Analyst Katy Velazquez (LPA) conducted an unannounced field visit to deliver the findings for the above allegation. LPA arrived at the facility and was met by Assistant Director Alina Ankrah (D1) whom is currenlty the acting Director. LPA disclosed the purpose of the inspection and was granted entrance. LPA toured the facility and observed 33 preschool aged children being supervised by 6 staff members. LPA determined, through accessing Guardian, that all required adults were background cleared and associated to the license.
Throughout the course of the investigation, LPA conducted physical plant inspections, on-site observations, and interviews. LPA reviewed the facility’s file and collected documentation pertaining to the allegation. It was alleged that staff exposed a day-care child to a hazardous cleaning product. Interviews with staff did not reveal corroboration for the allegation. Although a child’s skin was determined by a pediatrician to be exposed to a hazardous cleaning product, LPA did not determine that the cleaning product, which caused the injury, was from the facility.
CONTINUED ON 9099-C

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Katy Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023
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 2
Control Number 53-CC-20230720114755
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: LITTLE FLOWERS MONTESSORI
FACILITY NUMBER: 343621676
VISIT DATE: 08/09/2023
NARRATIVE
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Based on interviews, observations, documentation, and other information gathered, there was not a preponderance of evidence to prove or negate the allegation, therefore the allegation is UNSUBSTANTIATED. In the areas that were evaluated on 08/09/2023, no deficiencies were cited during today's inspection. An exit interview was conducted with D1 and Appeal Rights were provided to D1. A Notice of Site visit was posted by LPA and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Katy Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2