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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343622379
Report Date: 09/05/2024
Date Signed: 09/05/2024 11:35:32 AM

Unsubstantiated


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
08/07/2024 and conducted by Evaluator Gagandeep Singh
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20240807180426
FACILITY NAME:KIDDY CLUBFACILITY NUMBER:
343622379
ADMINISTRATOR:MARLETT REIDFACILITY TYPE:
850
ADDRESS:7710 STOCKTON BOULEVARDTELEPHONE:
(916) 617-7248
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY:58CENSUS: 39DATE:
09/05/2024
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Rachel De La RosaTIME COMPLETED:
11:45 AM
ALLEGATION(S):
1
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9
Staff hit daycare children.
INVESTIGATION FINDINGS:
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2
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5
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13
Licensing Program Analyst (LPA) Gagandeep Singh met with the facility representative, Rachel De La Rosa, to deliver the findings of the complaint allegation. Purpose of the inspection was explained.

During complaint intake process, Reporting party stated that a staff member “popped” a child on head because they were making “annoying noises”. Reporting party also informed that there was no injury and never had any injuries in past. During the investigation, LPA interviewed all staff in the classroom and random children, including the victim child, from the classroom. During the interviews, LPA did not get disclosure of any inappropriate touching or discipline forms. LPA requested the video recording of the classroom from the day of incident. Because of the technical issues, the facility was unable to provide the video recordings. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Copy of this report was reviewed and provided to the facility representative. Notice of site visit is posted and shall remain posted for next 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2024
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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