343622006-8-14-2024-03-CC-SDLA-D8RTRB-20240903145717

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343622006
Report Date: 08/14/2024
Date Signed: 08/14/2024 02:41:37 PM

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
06/19/2024 and conducted by Evaluator Josiah Gathing

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20240619140641

FACILITY NAME:	APPLE A DAY PRESCHOOL & INFANT CTR		FACILITY NUMBER:	343622006
ADMINISTRATOR:	INGRAM, MICHELLE		FACILITY TYPE:	850
ADDRESS:	5013 EL CAMINO AVE		TELEPHONE:	(916) 481-5400
CITY:	CARMICHAEL	STATE: CA	ZIP CODE:	95608
CAPACITY:	36	CENSUS: 13	DATE:	08/14/2024
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Michelle Ingram		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Play structure is unsafe

INVESTIGATION FINDINGS:

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On Wednesday, August 14, 2024, at approximately 10:30 AM Licensing Program Analyst (LPA) Josiah Gathing met with Program Director Michelle Ingram, for the purpose of a complaint investigation and to deliver findings. It was alleged that the outdoor play structure is unsafe. Throughout the course of the investigation, LPA conducted interviews, reviewed documents, and made observations. During the investigation, LPA observed that the outdoor preschool playstructure partially collapsed. Staff interview confirmed that the play structure broke when a staff member stood on it. Director stated that the repair costs had been assessed and the children are not to be allowed on the play structure until repairs are completed.
Therefore, based on record review, 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:

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Josiah Gathing	TELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2024

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-20240619140641

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 & INFANT CTR	FACILITY NUMBER: 343622006
	VISIT DATE: 08/14/2024

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.
Upon receipt, Director shall post and provide copies of this licensing report to parents/ guardians of children who are currently enrolled as well as parents/ guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must acknowledge receipt of this report and citation by signing a LIC9224, “ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS”. A copy of this form should be placed in each child file upon receipt from parent.
LPA discussed this report with Director and conducted an exit interview. LPA also provided appeal rights. Notice of site visit posted.

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Josiah Gathing	TELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2024

LIC9099 (FAS) - (06/04)

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Control Number 03-CC-20240619140641

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 & INFANT CTR	FACILITY NUMBER: 343622006
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/14/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Request Denied: Appeal Not Submitted Timely Type A 08/15/2024 Section Cited CCR 101239(o)(1)	1 2 3 4 5 6 7	101239 Fixtures, Furniture, Equipment and Supplies (o) Playground equipment... (1) shall be maintained in a safe condition, free of sharp, loose or pointed parts. The above requirement was not met as evidenced by:	1 2 3 4 5 6 7	Staff are not allowing children to play on the play structure until repairs are completed. Director will provide proof to LPA that the damage has been assessed and repairs have been ordered by the Plan of Correction Date.
	8 9 10 11 12 13 14	Based on observation the facility did not comply with the above regulation as the play structure partially collapsed which poses Health, Safety, or Personal Rights risk to persons in care	8 9 10 11 12 13 14
	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.

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Josiah Gathing	TELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2024

LIC9099 (FAS) - (06/04)

Page: 3 of 4

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
06/19/2024 and conducted by Evaluator Josiah Gathing

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20240619140641

FACILITY NAME:	APPLE A DAY PRESCHOOL & INFANT CTR		FACILITY NUMBER:	343622006
ADMINISTRATOR:	INGRAM, MICHELLE		FACILITY TYPE:	850
ADDRESS:	5013 EL CAMINO AVE		TELEPHONE:	(916) 481-5400
CITY:	CARMICHAEL	STATE: CA	ZIP CODE:	95608
CAPACITY:	36	CENSUS: 13	DATE:	08/14/2024
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Michelle Ingram		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Facility is operating without fully qualified teachers
Staff do not ensure children have appropriate footwear while outside

INVESTIGATION FINDINGS:

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On Wednesday, August 14, 2024, at approximately 10:30 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 facility is operating without qualified teachers and staff do not ensure children have appropriate footwear while outside. Throughout the course of the investigation, LPA conducted interviews, reviewed documents, and made observations. LPA observed children wearing footwear at all times during the investigation. Staff and child interviews confirmed that children wear footwear outdoors. Record review revealed that each classroom was staffed with fully qualified teachers during the investigation. According to staff interview, partially qualified teachers and teacher aides never supervise the children without the presence of a fully qualified teacher.
Although the alleged violations may have happened or are valid, the preponderance of evidence standard has not been met to fully prove or disprove that they did or did not occur, therefore, they are unsubstantiated. An exit interview was conducted and a notice of site visit provided. Notice of site visit shall remain posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Josiah Gathing	TELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2024

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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