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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343622378
Report Date: 11/15/2021
Date Signed: 11/15/2021 03:37:32 PM

Substantiated


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
10/19/2021 and conducted by Evaluator Gagandeep Singh
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20211019141651
FACILITY NAME:KIDDY CLUBFACILITY NUMBER:
343622378
ADMINISTRATOR:REID, MARLETTFACILITY TYPE:
830
ADDRESS:7710 STOCKTON BLVDTELEPHONE:
(916) 617-7248
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY:14CENSUS: 7DATE:
11/15/2021
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Marlett ReidTIME COMPLETED:
03:50 PM
ALLEGATION(S):
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Staff allow babies to sleep with blankets in the pack n play.
Staff allow babies to sleep while pacifier clip is attached.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Gagandeep Singh met with the owner, Marlett Reid, to deliver the findings of the complaint. Purpose of the inspection was explained.

During the investigation of the complaint, LPA inspected the facility during nap time and interviewed the owner. During the inspection, LPA observed a child sleeping in the play pan with blanket and a pacifier. The pacifier was located on the child’s body, not in the mouth. Based on LPAs observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations are being cited on the attached LIC 9099D. A Type “A” violation (see continuation) was issued today. The center 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: 11/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2021
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
Control Number 03-CC-20211019141651
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: KIDDY CLUB
FACILITY NUMBER: 343622378
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/15/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/16/2021
Section Cited
CCR
101439.1(f)
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Cribs shall be free from all loose articles and objects, including blankets and pillows. This requirement is not met as evidenced during the inspections, LPA observed an infant sleeping with blanket in the crib. This poses an immediate health and safety risk to children in care.
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The Owner agreed to have a training with all staff about safe sleep regulations and precedures and provide the discussion points and sign in for attendance to the Department.
Type A
11/16/2021
Section Cited
CCR
101439.1(f)(1)(A)
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Pacifiers shall be allowed in the crib if the following provisions are in place: There shall not be anything attached to the pacifier. This requirement is not met as evidenced during the inspections, LPA observed an infant sleeping with pacifier and it had string attached. This poses an immediate health and safety risk to children in care.
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The Owner agreed to have a training with all staff about safe sleep regulations and precedures and provide the discussion points and sign in for attendance to the Department.
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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: Maria Mayorga
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3