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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343623834
Report Date: 05/12/2022
Date Signed: 05/17/2022 08:14:43 AM

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
05/03/2022 and conducted by Evaluator Amanda Sutter
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20220503103942
FACILITY NAME:HODGE LEARNING CENTERFACILITY NUMBER:
343623834
ADMINISTRATOR:JEN, DEBBIEFACILITY TYPE:
850
ADDRESS:7248 MURIETA DRIVE SUITE B-8TELEPHONE:
(618) 663-0574
CITY:RANCHO MURIETASTATE: CAZIP CODE:
95683
CAPACITY:35CENSUS: 14DATE:
05/12/2022
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Debbie JenTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Broken toys and play equipment
INVESTIGATION FINDINGS:
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On May 10, 2022 at 11:00 AM, Licensing Program Analysts (LPAs) Amanda Sutter and Kelly Ferrara met with Director Debbie Jen for the purpose of a complaint investigation. LPAs observed 14 preschool children supervised by 3 staff.

It was alleged that there were broken toys and play equipment in the playground area. LPAs observed a plastic basketball hoop with a cracked base with sharp plastic.

Based on observation, LPAs determined the allegation is substantiated, meaning that the preponderance of evidence standard has been met. One Type B citation was issued on the following page. Exit interview was conducted. A copy of this report was given to the Facility Representative.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Amanda Sutter
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2022
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-20220503103942
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: HODGE LEARNING CENTER
FACILITY NUMBER: 343623834
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/12/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/10/2022
Section Cited
CCR
101239(o)(1)
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(o) Playground equipment... (1) Equipment shall be maintained in a safe condition, free of sharp, loose or pointed parts.

This deficiency was not met as evidenced by LPAs observation of a plastic basketball hoop with a cracked base with sharp plastic.
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LPAs observed the Facility Representative throw away the basketball hoop. LPAs advised Facility Representative to look through toys on a regular basis and throw out anything that is broken.
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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: Amanda Sutter
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3