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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343621825
Report Date: 10/05/2022
Date Signed: 10/05/2022 01:59:17 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 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
07/19/2022 and conducted by Evaluator Mandie Goodwin
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20220719093004
FACILITY NAME:BROWN, VANESSAFACILITY NUMBER:
343621825
ADMINISTRATOR:BROWN, VANESSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 591-8082
CITY:SACRAMENTOSTATE: CAZIP CODE:
95828
CAPACITY:14CENSUS: 6DATE:
10/05/2022
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Vanessa BrownTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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 Licensee allows children in off limit areas
INVESTIGATION FINDINGS:
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On 10/5/2022, at approximately 12:45 PM, Licensing Program Analysts (LPAs) Alize Tillery and Mandie Goodwin arrived at the family child care home to conclude the complaint allegation listed above. Upon arrival there were 6 children supervised by Licensee.

It was alleged that Licensee allows children in off limit areas. Per the licensure conditions, off limit areas consist of the garage, meaning children should never access this off limit area. Information obtained during Licensee and parent interviews, Licensee used the garage as a drop off and pick up area, as well as a play area for the children. On 9/8/2022, LPA asked Licensee what her understanding was of her "on limit" areas; Licnesee responded the whole house except for the lower fireplace area.

LPA conducted a file review and referenced the STD 850 - Fire Safety Inspection Form. The fire safety inspection was conducted by the Sacramento Fire Department on 6/18/2019. On the inspection form, the fire inspector notes that the garage area is not approved for day care use.
Report continues...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Mandie Goodwin
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2022
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 5
Control Number 03-CC-20220719093004
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: BROWN, VANESSA
FACILITY NUMBER: 343621825
VISIT DATE: 10/05/2022
NARRATIVE
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Based on information obtained through interviews and file review, the preponderance of evidence standard has been met, therefore the allegation is found to be Substantiated. A Type A deficiency is being cited for Alterations to Existing Buildings or Grounds. See 809D page for deficiency cited.

Director acknowledges, that for type A deficiencies only upon receipt, Licensee shall post LIC 9099D with Type A deficiencies for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardian to parents of children newly enrolled at the facility during the next 12 months. LIC 9224 must be signed by parents/guardians and kept with the children's forms as a receipt whenever a type A documents are provided by the Licensee. LIC 9224 and Appeal Rights were provided and an exit interview was conducted and a Notice of Site Visit was posted which must remain posted for 30 days.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Mandie Goodwin
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 03-CC-20220719093004
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: BROWN, VANESSA
FACILITY NUMBER: 343621825
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/05/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/06/2022
Section Cited
CCR
102416.3(a)(6)
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(a) Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following:
(6) Any change from an area of the family child care home previously identified as "off
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Licensee stated that she will submit a correspondence to LPA Tillery stating that she understands the garage is off limits and children will never enter this off limit area.
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limits" to an area where care and supervision will be provided to children in care.
This requirement was not met, evidenced by: Based on information received during parent and Licensee interview, the children have been in the off limit area - garage.
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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: Seychelle De Luca
LICENSING EVALUATOR NAME: Mandie Goodwin
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 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
07/19/2022 and conducted by Evaluator Mandie Goodwin
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20220719093004

FACILITY NAME:BROWN, VANESSAFACILITY NUMBER:
343621825
ADMINISTRATOR:BROWN, VANESSAFACILITY TYPE:
810
ADDRESS:7655 PINE VALLEY DRIVETELEPHONE:
(916) 591-8082
CITY:SACRAMENTOSTATE: CAZIP CODE:
95828
CAPACITY:14CENSUS: 6DATE:
10/05/2022
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Vanessa BrownTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Licensee hit child in care
Licensee did not seperate a sick child form children in care
INVESTIGATION FINDINGS:
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On 10/5/2022, at approximately 12:45 PM, Licensing Program Analysts (LPAs) Alize Tillery and Mandie Goodwin arrived at the family child care home to conclude the complaint allegation listed above. Upon arrival there were 6 children supervised by Licensee.

One allegation is that Licensee did not separate a sick child from children in care. Interviews with parents revealed that Licensee does not accept day care children when they are ill and that the day care child must stay home for two days or provide a doctors note to show that they are cleared to return. Interviews with parents also revealed that Licensee notifies parents if there was an outbreak of an illness amongst the day care children.
Interview with Licensee revealed that there was a recent hand foot and mouth outbreak that occurred in the day care facility but that she was not informed by the first family that contracted the illness, so Licensee was unable to prevent the illness from spreading.
Report continues...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Mandie Goodwin
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 03-CC-20220719093004
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: BROWN, VANESSA
FACILITY NUMBER: 343621825
VISIT DATE: 10/05/2022
NARRATIVE
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Licensee stated once she learned of the illness and what was happening, she contacted all parents via group message on 7/20/22, to inform them that an outbreak occurred and requested that children with any symptoms be seen by their doctor. Licensee stated that she also communicated this with parents in person. Due to consistent information received during Licensee and parent interviews, the allegation is Unsubstantiated.

It was also alleged that Licensee hit a child in care. Interviews with parents and Licensee revealed that Licensee does not "hit" or "whoop" children. Interviews with parents and Licensee revealed that Licensee uses the time out method, as a form of discipline. LPA did not receive and relevant or concerning information during children interviews, regarding the allegation. Due to inconsistent information received during parent, children and reporting party interviews, the allegation is Unsubstantiated.

Based on the investigation conducted, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred. As a result, the allegations are Unsubstantiated.

LPA reviewed the report with Licensee and provided copies. Appeal Rights were issued and discussed. A Notice of Site Visit was issued and Licensee acknowledges it must remain posted for 30 days.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Mandie Goodwin
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5