343623896-5-31-2023-03-CC-SDLA-CTALSH-20230630090047

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343623896
Report Date: 05/31/2023
Date Signed: 05/31/2023 05:50:07 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 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
04/17/2023 and conducted by Evaluator Karyn Guerra

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20230417114802

FACILITY NAME:	DISCOVERY TREE SCHOOL - CAPITAL CITY		FACILITY NUMBER:	343623896
ADMINISTRATOR:	HEBERT, KAPRIA		FACILITY TYPE:	850
ADDRESS:	744 P STREET		TELEPHONE:	(916) 965-3661
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95814
CAPACITY:	58	CENSUS: 21	DATE:	05/31/2023
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Kapria Hebert		TIME COMPLETED:	06:00 PM

ALLEGATION(S):

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Staff did not follow day care child's dietary restrictions.

INVESTIGATION FINDINGS:

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At 1:00 p.m. on Wednesday, May 31st, 2023, Licensing Program Analyst (LPA) Karyn Guerra met with Director, Kapria Hebert, for the purpose of an unannounced complaint inspection. It was alleged that staff did not follow day care child's dietary restrictions. Throughout the course of the investigation, LPA conducted interviews and received documentation. It was learned that a child in care had a documented wheat allergy and was fed a sandwich prepared by the facility. LPA observed photo documentation of child with facility provided sandwich while in care. It was stated that there was a miscommunication regarding the child's dietary restrictions, since they were provided wheat products from home. The preponderance of evidence standard has been met, and the allegation is substantiated. A title 22 deficiency is cited on the subsequent pages of this report. Appeal rights and a notice of site visit were provided and an exit interview conducted with the Director, Kapria Hebert. Notice of site visit shall remain posted for 30 days.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE:	DATE: 05/31/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2023

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

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 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
04/17/2023 and conducted by Evaluator Karyn Guerra

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20230417114802

FACILITY NAME:	DISCOVERY TREE SCHOOL - CAPITAL CITY		FACILITY NUMBER:	343623896
ADMINISTRATOR:	HEBERT, KAPRIA		FACILITY TYPE:	850
ADDRESS:	744 P STREET		TELEPHONE:	(916) 965-3661
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95814
CAPACITY:	58	CENSUS: 21	DATE:	05/31/2023
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Kapria Hebert		TIME COMPLETED:	06:00 PM

ALLEGATION(S):

1
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5
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7
8
9

Staff withheld lunch from day care child(ren).

INVESTIGATION FINDINGS:

1
2
3
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5
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7
8
9
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12
13

At 1:00 p.m. on Wednesday, May 31st, 2023, Licensing Program Analyst (LPA) Karyn Guerra met with Director, Kapria Hebert, for the purpose of an unannounced complaint inspection. It was alleged that staff withheld lunch from day care child. Throughout the course of the investigation, LPA conducted interviews and received documentation. LPA came to learn that a child in care had a food restriction and would bring their own food from home. It was stated that child had been offered their own food from home, but refused, and was given a restricted food prepared by the facility. The facility normally provides lunch, and morning and afternoon snacks to children in care. The allegation is unsubstantiated. Although the alleged violation may have happened or is valid, the preponderance of evidence standard has not been met to fully prove or disprove that the allegation did or did not occur, therefore, it is unsubstantiated. This report was reviewed with the Director, Kapria Hebert, and a notice of site visit provided. Notice of site visit shall remain posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE:	DATE: 05/31/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 03-CC-20230417114802

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, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: DISCOVERY TREE SCHOOL - CAPITAL CITY	FACILITY NUMBER: 343623896
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/31/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 06/09/2023 Section Cited CCR 101227(a)(7)(B)	1 2 3 4 5 6 7	101227 Food Services: (B) A child shall not be served any food to which the child's record indicates he/she has an allergy. This requirement was not met, as evidenced by:	1 2 3 4 5 6 7	The Director will provide a plan to LPA by POC due date on how the facility will address any allergies or dietary restrictions among children in care.
	8 9 10 11 12 13 14	Based on interview and documentation, the licensee did not comply with the regulation cited above, as a child in care with a documented wheat allergy was provided a sandwich while in care. This poses a potential risk to the health and safety of children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Karyn Guerra
LICENSING EVALUATOR SIGNATURE:	DATE: 05/31/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2023

LIC9099 (FAS) - (06/04)

Page: 3 of 3