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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343623499
Report Date: 05/29/2024
Date Signed: 05/30/2024 03:23:30 PM

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
05/13/2024 and conducted by Evaluator Mandie Goodwin
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20240513153310
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: 36DATE:
05/29/2024
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Maya PatelTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff pulled child by arm
INVESTIGATION FINDINGS:
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On May 29th 2024 Licensing Program Analyst (LPA) Mandie Goodwin met Director Maya Patel to continue investigating and close a complaint investigation regarding the above allegation. Upon arrival 36 preschool children were present supervised by 8 staff members across 3 classrooms.

It was alleged that a staff member (S1) pulled a child's arm. Through the course of the investigation LPA conducted interviews, reviewed documentation, and made observations. LPA reviewed documentation of a doctor's visit which gave instructions on how to treat nursemaid's elbow. Staff stated that the child (C1) was not really using their arm after playing outside, however they stated they did not observe what may have caused the incident. LPA was unable to conclusively determine what happened to the child's arm. A note was sent on Brightwheel regarding the child saying their arm hurt. LPA additionally reviewed camera footage of the class outside and did not observe what could have injured the child.

Continued on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Mandie Goodwin
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2024
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-20240513153310
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: 05/29/2024
NARRATIVE
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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.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Mandie Goodwin
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3