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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343623896
Report Date: 12/12/2023
Date Signed: 12/12/2023 01:32:45 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
12/08/2023 and conducted by Evaluator Dao Vang
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20231208094421
FACILITY NAME:DISCOVERY TREE SCHOOL - CAPITAL CITYFACILITY NUMBER:
343623896
ADMINISTRATOR:KAPRIA HEBERTFACILITY TYPE:
850
ADDRESS:744 P STREETTELEPHONE:
(916) 965-3661
CITY:SACRAMENTOSTATE: CAZIP CODE:
95814
CAPACITY:58CENSUS: 16DATE:
12/12/2023
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Rebecca FosterTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Staff did not provide adequate supervision with children in the classroom.
INVESTIGATION FINDINGS:
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On December 12th, 2023 at 12:00p.m., Licensing Program Analyst (LPA) Pa Dao Vang met with Licensee Representative, Rebecca Foster, to conduct an unannounced inspection on a Complaint Report submitted on 12/8/2023. Inspection regarding an Unusual Incident Reported. LPA observed 16 children supervised by 3 staff. LPA conducted observation in the Pre-K classroom.

On December 1th, 2023 an Unusual Incident Report was received detailing an incident that occurred on the November 27th, 2023 regarding an incident between two children (C1 and C2) in the Pre-K classroom. Licensee Representative stated after lunch, a nearby teacher saw C1 partially laying on top of C2 on their nap mats. C1 was poking C2's belly button. The nearby staff member attended to the incident immediately. The C2's mother was immediately notified about the incident the same day. A parent conference was also held to address the incident.

Continue report on LIC9909-C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Dao Vang
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2023
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 2
Control Number 03-CC-20231208094421
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: DISCOVERY TREE SCHOOL - CAPITAL CITY
FACILITY NUMBER: 343623896
VISIT DATE: 12/12/2023
NARRATIVE
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During the inspection on 12/7/2023 and 12/12/2023, LPA conducted interviews and made observations of the area. LPA did not observe any blind spots of the classroom and where the nearby teacher was located. There was no lack of supervision found.

Therefore, 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 the allegation is unsubstantiated. There is no deficiency issued today. An exit interview was conducted and notice of site visit and appeal rights were provided to facility representative Rebecca Foster.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Dao Vang
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2