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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343623499
Report Date: 07/05/2023
Date Signed: 07/05/2023 12:58:16 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
06/29/2023 and conducted by Evaluator Mandie Goodwin
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20230629165937
FACILITY NAME:HAPPY TIME PRESCHOOLFACILITY NUMBER:
343623499
ADMINISTRATOR:PATEL, MAYAFACILITY TYPE:
850
ADDRESS:7610 ELSIE AVENUETELEPHONE:
(916) 698-0685
CITY:SACRAMENTOSTATE: CAZIP CODE:
95828
CAPACITY:75CENSUS: 37DATE:
07/05/2023
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Maya PatelTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Staff member hit a child
Facility did not report incident as required
INVESTIGATION FINDINGS:
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At 9:00am on Wednesday July 5th 2023 Licensing Program Analysts (LPAs) Mandie Goodwin and Corina Beckby met with Director Maya Patel for the purpose of opening and investigating a complaint and to deliver findings. It was alleged that a staff member (S1) had hit a child and that the incident was not reported. During the course of the investigation LPAs interviewed the director, staff, and victim. Interviews consistently stated that a staff member(S1) had struck a child (C1) and that it was not directly observed by staff, but was heard by staff #2 (S2). Upon being notified of the incident Director spoke to the staff member, who admitted that she had struck a child. C1 additionally told staff members "Teacher hit me." Interviews consistently stated that the staff member was terminated immediately and did not return. For the second allegation, interviews with Director revealed that they thought that the licensee (LIC) was going to submit a report upon return from vacation. LPA informed director that an unusual incident is required to be reported to the community care licensing department within 24 hours and a written report submitted within 7 days. LPA obtained a written report at time of visit, 8 days after incident occured. Cont. on 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Mandie Goodwin
LICENSING EVALUATOR SIGNATURE:

DATE: 07/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/05/2023
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-20230629165937
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: HAPPY TIME PRESCHOOL
FACILITY NUMBER: 343623499
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/05/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/06/2023
Section Cited
CCR
101223(a)(1)
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Personal Rights-(a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment... This requirement was not met as evidenced by: Based on interviews with Director, Staff, and Victim, a child was struck by staff member (S1).
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Director will update staff handbook to include the addition of personal rights and "zero tolerance" actions and have staff sign an updated agreement. Director will send signed agreements to LPA Goodwin.
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Director stated that S1 admitted to striking the child after they spoke. The staff member (S1) was subsequently terminated. This is considered an immediate health, safety of personal rights risk to persons in care.
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Type B
07/19/2023
Section Cited
CCR
101212(d)
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Upon the occurrence... of ... events... a report shall be made to the Department... within the... next working day... In addition, a written report ... shall be submitted to the Department within seven days... This requirement was not met as evidenced by:
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Director provided a written incident report at time of visit and signed an acknowledgment of her responsibility to notify department of unusual incidents within 24 hours of occurance,
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Based on record review and interview, the director did not comply with the section cited above by failing to report the incident to licensing department as required. This is considered a potential 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: Mandie Goodwin
LICENSING EVALUATOR SIGNATURE:

DATE: 07/05/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/05/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 03-CC-20230629165937
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: HAPPY TIME PRESCHOOL
FACILITY NUMBER: 343623499
VISIT DATE: 07/05/2023
NARRATIVE
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Based on LPA observations of records and interviews the preponderance of evidence standard has been met; therefore, the above allegations are substantiated.

LPA Mandie Goodwin informed Director that this report dated 7/5/23 documents one Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care. Also, LPA Mandie Goodwin informed the Director to provide a copy of this licensing report dated 7/5/23 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. Exit interview with Director Maya Patel was conducted and appeal rights were provided.

See LIC 9099-D for deficiencies.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Mandie Goodwin
LICENSING EVALUATOR SIGNATURE:

DATE: 07/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/05/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3