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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343622005
Report Date: 03/21/2024
Date Signed: 03/21/2024 11:03:14 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
03/06/2024 and conducted by Evaluator Josiah Gathing
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20240306100121
FACILITY NAME:APPLE A DAY PRESCHOOL & INFANTS CTRFACILITY NUMBER:
343622005
ADMINISTRATOR:INGRAM, MICHELLEFACILITY TYPE:
830
ADDRESS:5013 EL CAMINO AVENUETELEPHONE:
(916) 481-5400
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:18CENSUS: 10DATE:
03/21/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Michelle IngramTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Infant facility has operated outside of ratio.
INVESTIGATION FINDINGS:
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On Thursday, March 21, 2024, at approximately 9:00 AM Licensing Program Analyst (LPA) Josiah Gathing met with Director Michelle Ingram, for the purpose of a complaint investigation and to deliver findings. It was alleged that the infant facility has operated outside of ratio.. Throughout the course of the investigation, LPA conducted interviews, reviewed documents, and made observations. According to staff interview, the facility has been understaffed until recently and the toddler room under the infant license has been out of ratio on at least one occasion. LPA also observed the toddler room operating out of ratio briefly during the investigation.
Therefore, based on interview, the preponderance of evidence standard has been met, and the allegation is substantiated. An exit interview was conducted and a notice of site visit provided. Notice of site visit shall remain posted for 30 days.

CONT. ON LIC 9099-C...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Josiah Gathing
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2024
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
Control Number 03-CC-20240306100121
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: APPLE A DAY PRESCHOOL & INFANTS CTR
FACILITY NUMBER: 343622005
VISIT DATE: 03/21/2024
NARRATIVE
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Title 22 deficiencies are cited on the subsequent pages of this report. 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/guardians 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 any Type A documents are provided by the licensee. LIC 9224 and Appeal Rights were provided. Director's signature on this report acknowledges receipt of these rights. This report was reviewed with the Director. An exit interview was conducted. A Notice of Site Visit was provided and shall remain posted for a period of 30 days for parental review.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Josiah Gathing
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20240306100121
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: APPLE A DAY PRESCHOOL & INFANTS CTR
FACILITY NUMBER: 343622005
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/21/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/21/2024
Section Cited
CCR
101416.5(b)(1)(B)
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101416.5 Staff-Infant Ratio (b) There shall be a ratio of one teacher for every four infants... (1) An aide may be substituted for a teacher when... : (B) Each aide is responsible for... supervision of... no more than four infants. This requirement was not met as evidenced by:
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Director will conduct 3 hour staff training meeting to discuss licensing regulation classroom procedures including ratio. Director will follow up with LPA by sending training agenda by email.
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Based on interview the facility did not comply with the above regulation as seven children in the toddler room were temporarily supervised by the Director alone on a short-staffed morning which poses Health, Safety, or Personal Rights risk to persons 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: Seychelle De Luca
LICENSING EVALUATOR NAME: Josiah Gathing
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3