343624644-12-14-2023-03-CC-KPES-CYRL8Z-20231222073246

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343624644
Report Date: 12/14/2023
Date Signed: 12/14/2023 05:17:21 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
09/27/2023 and conducted by Evaluator Kyrsten Williams

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20230927084156

FACILITY NAME:	CREEKSIDE PRESCHOOL & INFANT CENTER		FACILITY NUMBER:	343624644
ADMINISTRATOR:	MANLEY, ROBERTA		FACILITY TYPE:	830
ADDRESS:	2550 BELPORT LANE		TELEPHONE:	(916) 333-1169
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95821
CAPACITY:	21	CENSUS: 4	DATE:	12/14/2023
		UNANNOUNCED	TIME BEGAN:	02:45 PM
MET WITH:	Carrie Caron and Katherin Wright		TIME COMPLETED:	05:30 PM

ALLEGATION(S):

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Licensee does not ensure staff to infant ratio requirements are being met

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Kyrsten Williams and Amanda Sutter met with Facility Representatives, Carrie Caron and Katherin Wright, for the purpose of delivering complaint findings for the above allegation. The purpose of the inspection was explained.

Throughout the investigation, LPA conducted observations, reviewed records, and interviewed Reporting Party, director, staff, and parents. LPA did not observe the facility operating out of ratio. LPA reviewed the staffing schedule and verified that, according to the schedule, the facility meets ratio requirements. LPA reviewed camera footage from the previous week and observed the facility to be operating within ratio during that time. After observations, interviews, and record review, LPA did not have substantial evidence to verify that the facility is operating out of ratio. Although the allegation above may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Exit interview conducted and report reviewed with facility representatives, Carrie Caron and Katherin Wright. Appeal rights provided. Notice of site visit was given and must remain posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Kyrsten Williams
LICENSING EVALUATOR SIGNATURE:	DATE: 12/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2023

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

LIC9099 (FAS) - (06/04)

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