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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343624644
Report Date: 10/29/2025
Date Signed: 10/29/2025 03:13:54 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
08/15/2025 and conducted by Evaluator Kyrsten Williams
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20250815144441
FACILITY NAME:CREEKSIDE PRESCHOOL & INFANT CENTERFACILITY NUMBER:
343624644
ADMINISTRATOR:WRIGHT, KATHERINFACILITY TYPE:
830
ADDRESS:2550 BELPORT LANETELEPHONE:
(916) 333-1169
CITY:SACRAMENTOSTATE: CAZIP CODE:
95821
CAPACITY:21CENSUS: 2DATE:
10/29/2025
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Ginette StephensTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Uncleared adult was present with the daycare children.
Staff allows an undocumented child to be enrolled.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Kyrsten Williams and Pa Dao Vang met with facility owner, Ginette Stephens, for the purpose of delivering complaint findings for the above allegations. The purpose of the inspection was explained. Census included two toddler children being supervised by one staff.

It was alleged an uncleared adult was present with the day care children. Throughout the course of the investigation, LPA conducted interviews, made observations, and reviewed records. It was reported on August 15, 2025, that an adult named James Stephens was present at the facility to supervise children. LPA made observations of camera footage on the reported day. LPA observed the individual entering the classroom at 8:19am and assisted with supervising children until 8:45am. After reviewing record of the Guardian facility roster for criminal record clearances, LPA observed the adult does not have a criminal record clearance associated with the Creekside Preschool & Infant Center.

PG. 1 - REPORT CONTINUES ON LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Kyrsten Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2025
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 4
Control Number 03-CC-20250815144441
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: 10/29/2025
NARRATIVE
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It was alleged staff allows an undocumented child to be enrolled. Throughout the course of the investigation, LPA conducted interviews, made observations, and reviewed records. During interviews, it was revealed on August 15, 2025, the assistant director from another facility assisted with supervising children in the toddler option classroom and infant classroom. During this time, the assistant director brought her own child into the classroom. It was revealed during interviews that the child has been brought into classrooms on other occasions. LPA made observations of camera footage. LPA observed the child in question present in the classroom as verified by the facility’s director. LPA reviewed facility records and did not see any documentation or records on file for the child in question.

Based on the information gathered the department has found that the allegations uncleared adult was present with the day care children and staff allows an undocumented child to be enrolled to be SUBSTANTIATED: meaning that the allegation is valid because the preponderance of the evidence standard has been met.

As a result of the substantiated allegations, deficiencies will be issued on the attached LIC9099-D for violation of CCR 101170(e)(2) and CCR 101221(a). An immediate Civil Penalty of $100 has been assessed due to violation of the Child Care Regulation – Criminal Record Clearance 101170(e)(2).

LPA Williams informed the facility owner that upon receipt, the facility owner shall post and provide copies of this licensing report dated 10/29/2025 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted with facility owner, Ginette Stephens. A copy of this report was provided. The facility representative was provided with a copy of their Appeal Rights (LIC9058) and the facility representative’s signature on this form acknowledges receipt of these rights. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Kyrsten Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 03-CC-20250815144441
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/29/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/30/2025
Section Cited
CCR
101170(e)(2)
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Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 101170(f) ...
This requirement is not met as evidenced by:
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Facility representative will ensure all adults have obtained a criminal record clearance or exemption and is associated to this facility. Facility representative will submit a transfer request for any individual that has already obtained a criminal record clearance to LPA.
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Based on interview, observation, and record review, the licensee did not comply with the section cited above as an adult was observed to be supervising child care children and does not have a clearance or exemption associated to the facility, which poses/posed an potential 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: Seychelle De Luca
LICENSING EVALUATOR NAME: Kyrsten Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 03-CC-20250815144441
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/29/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/28/2025
Section Cited
CCR
101221(a)
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101221 Child's Records (a) A separate, complete and current record for each child is maintained in the child care center.


This requirement was not met, as evidenced by:
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Facility representative will ensure all children have a complete and current record/file. LPA will return to the facility to observe completed records of each child present at the facility.
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Based on interview, observation, and record review, the licensee did not comply with the section cited above as at least one child observed in the facility does not have a complete or current record, which poses/posed an potential 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: Seychelle De Luca
LICENSING EVALUATOR NAME: Kyrsten Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4