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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343624219
Report Date: 08/08/2024
Date Signed: 08/08/2024 12:08:39 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
06/12/2024 and conducted by Evaluator Fabian Schwartz
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20240612143637
FACILITY NAME:KING, KRYSTALFACILITY NUMBER:
343624219
ADMINISTRATOR:KRYSTAL KINGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 917-2520
CITY:SACRAMENTOSTATE: CAZIP CODE:
95835
CAPACITY:14CENSUS: DATE:
08/08/2024
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Krystal KingTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Stairs are Not Gated
INVESTIGATION FINDINGS:
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On Thursday 8 August, 2024, at approximately 11:00am Licensing Program Analyst (LPA) Fabian Schwartz met with licensee Krystal King to deliver the findings for the above complaint allegations. Also present was Licensee's Assistant. At time of inspection, Licensee and Assistant were supervising 10 children.

During today’s inspection, LPA made observations, gathered documents, and conducted interviews. During interviews of previous inspection on 18 June 24, LPA observed Infant #1 on stairs of Family Child Care Home. Staircase of home has been established as an off-limits area.

Based upon evidence obtained, there is a preponderance of evidence to support the allegation; therefore, the finding is SUBSTANTIATED. A Type B Title 22 deficiency is cited on continuation page LIC 9099-D. Exit interview was conducted and report was reviewed with Licensee, Krystal King. Appeal rights were provided. Notice of site visit was given and must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Fabian Schwartz
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2024
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
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
06/12/2024 and conducted by Evaluator Fabian Schwartz
COMPLAINT CONTROL NUMBER: 03-CC-20240612143637

FACILITY NAME:KING, KRYSTALFACILITY NUMBER:
343624219
ADMINISTRATOR:KRYSTAL KINGFACILITY TYPE:
810
ADDRESS:5587 BRAMPTON WAYTELEPHONE:
(916) 917-2520
CITY:SACRAMENTOSTATE: CAZIP CODE:
95835
CAPACITY:14CENSUS: DATE:
08/08/2024
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Krystal KingTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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9
Licensee yells at children

Licensee hits children

Licensee uses inappropriate forms of discipline

Facility is not orderly and clean
INVESTIGATION FINDINGS:
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On Thursday 8 August, 2024, at approximately 11:00am Licensing Program Analyst (LPA) Fabian Schwartz met with licensee Krystal King to deliver the findings for the above complaint allegations. Also present was Licensee's Assistant. At time of inspection, Licensee and Assistant were supervising 10 children.

During today’s inspection, LPA made observations, gathered documents, and conducted interviews. During complaint investigation, LPA did not find evidence to support allegations of Licensee physically or emotionally harming children in Family Child Care Home, or that Facility is not orderly and clean.

Although the allegations may have happened, there is not a preponderance of evidence to prove the allegations; therefore, the allegations are unsubstantiated. Exit interview was conducted and report was reviewed with Licensee, Krystal King. Appeal rights were provided. Notice of site visit was given and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Fabian Schwartz
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2024
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-20240612143637
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: KING, KRYSTAL
FACILITY NUMBER: 343624219
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
09/08/2024
Section Cited
CCR
102417(g)(3)
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OPERATION OF A FAMILY CHILD CARE HOME
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to: (3) Where children less than five years old are in care, stairs shall be fenced or barricaded.

This requirement is not met as evidenced by:
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Licensee will keep stairs barricaded during hours of operation. Stairs were aporopriately barricaded during inspection on 8 Aug 24, Deficiency cleared during inspection.
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Based on observation and interview, the licensee did not comply with the section cited above by not having stairs being appropriately barricaded to children with stairs gate being open when LPAs arrived to facility, and having an infant climb staircase during licensing inspection which poses an immediate 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: Amanda Blesi
LICENSING EVALUATOR NAME: Fabian Schwartz
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3