343622855-4-12-2023-03-CC-SDLA-CR8M2V-20230425091407

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343622855
Report Date: 04/12/2023
Date Signed: 04/12/2023 12:41:00 PM

Unsubstantiated

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
02/21/2023 and conducted by Evaluator Mandie Goodwin

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20230221112827

FACILITY NAME:	MINDFUL MIRACLE, INC. (PS)		FACILITY NUMBER:	343622855
ADMINISTRATOR:	MARTINEZ, MARCY		FACILITY TYPE:	850
ADDRESS:	1001 I STREET		TELEPHONE:	(916) 889-3443
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95814
CAPACITY:	36	CENSUS: 32	DATE:	04/12/2023
		UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Ashley Teeny And Jarred Winn		TIME COMPLETED:	12:45 PM

ALLEGATION(S):

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Child is left in soiled clothing and staff do not ensure child has access to go to the bathroom
Staff speak inappropriately towards the daycare children
Staff mishandled a daycare child while in care
Unqualified staff are providing care

INVESTIGATION FINDINGS:

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On April 12th, 2023 Licensing Program Analysts (LPAs) Mandie Goodwin and Josiah Gathing met with Director Marcy Martinez and licensees Ashley Teeny and Jarred Winn to close a complaint investigation. Upon arrival LPAs observed 32 children being supervised by four staff members.

It was alleged that a child was left in soiled clothing and did not have access to the bathroom, that staff speak inappropriately towards children, that staff mishandled a daycare child, and that unqualified staff are providing care. During the course of the investigation, LPAs reviewed documentation and qualifications, made observations, and conducted interviews.

LPAs observed that toilets are at an accessable height and learned that staff use Brightwheel to communicate restroom breaks and diaper changes to families. During observations LPAs did not observe staff speaking inappropriately or mishandling children in care. Interviews stated that when children need to be they are redirected, provided calm spaces, and given meditation tools to help regulate. Cont. on 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Mandie Goodwin	TELEPHONE: (916) 639-2867
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2023

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-20230221112827

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: MINDFUL MIRACLE, INC. (PS)	FACILITY NUMBER: 343622855
	VISIT DATE: 04/12/2023

NARRATIVE

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Additional interviews did not reveal evidence to support that inappropriate tones or mishandling have occurred. During visits qualified staff was being used for ratio in the classrooms and support staff was used in addition to fully qualified staff as needed for supervision. Interviews stated that support staff is not left on their own without a fully qualified teacher.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. No title 22 deficiencies are cited. Exit interview was conducted with Licensees and appeal rights were provided. Notice of site visit is provided and posted for 30 days.

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Mandie Goodwin	TELEPHONE: (916) 639-2867
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2023

LIC9099 (FAS) - (06/04)

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