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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343624644
Report Date: 08/02/2023
Date Signed: 08/02/2023 03:18:08 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
07/12/2023 and conducted by Evaluator Karyn Guerra
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20230712154203
FACILITY NAME:CREEKSIDE PRESCHOOL & INFANT CENTERFACILITY NUMBER:
343624644
ADMINISTRATOR:MANLEY, ROBERTAFACILITY TYPE:
830
ADDRESS:2550 BELPORT LANETELEPHONE:
(916) 333-1169
CITY:SACRAMENTOSTATE: CAZIP CODE:
95821
CAPACITY:21CENSUS: 12DATE:
08/02/2023
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Sharon SimmonsTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Unqualified staff were providing care and supervision

Facility is not meeting ratio requirements
INVESTIGATION FINDINGS:
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At 12:45 p.m. on Wednesday, August 2nd, 2023, Licensing Program Analyst (LPA) Karyn Guerra met with Director, Sharon Simmons, for the purpose of an unannounced complaint inspection to deliver findings. It was alleged that unqualified staff were providing care and supervision and that the facility is not meeting ratio requirements. Throughout the course of the investigation, LPA conducted interviews, made observations, and gathered documentation. The facility was not found to be out of ratio during the inspections conducted during the investigation. Staff interviews did reveal that there may be times early in the morning that the facility may be out of ratio as children are arriving to the facility. It was stated that staff will use a walkie to alert the Director and additional support staff will be sent to the classroom. Director stated that scheduling changes have been made to accommodate the morning ratio needs. A

report continued on 9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2023
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-20230712154203
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: CREEKSIDE PRESCHOOL & INFANT CENTER
FACILITY NUMBER: 343624644
VISIT DATE: 08/02/2023
NARRATIVE
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request for commingling waiver has also been received by the department. Interviews denied any unqualified staff being left alone with children outside of nap time. A file review was also conducted to review staff qualifications. The allegations are unsubstantiated. 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 the allegations did or did not occur, therefore, they are unsubstantiated. This report was reviewed with the Director, Sharon Simmons. A notice of site visit was provided and shall remain posted for 30 days.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2