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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343624645
Report Date: 07/28/2023
Date Signed: 07/28/2023 09:31:25 AM

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
07/12/2023 and conducted by Evaluator Karyn Guerra
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20230712155651
FACILITY NAME:CREEKSIDE PRESCHOOL & INFANT CENTERFACILITY NUMBER:
343624645
ADMINISTRATOR:MANLEY, ROBERTAFACILITY TYPE:
850
ADDRESS:2550 BELPORT LANETELEPHONE:
(916) 333-1169
CITY:SACRAMENTOSTATE: CAZIP CODE:
95821
CAPACITY:30CENSUS: 4DATE:
07/28/2023
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Sharon SimmonsTIME COMPLETED:
09:40 AM
ALLEGATION(S):
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Staff yell and talk down to children

Commingling with school-age children
INVESTIGATION FINDINGS:
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At 8:40 a.m. on Friday, July 28th, Licensing Program Analyst (LPA) Karyn Guerra met with Director, Sharon Simmons, for the purpose of an unannounced complaint inspection and to deliver findings. It was alleged that staff yell and talk down to children. Throughout the course of the investigation, LPA conducted interviews and made observations. It was learned that there was a Staff member (S1) who would use inappropriate language and yell with their own child who was in care, while also in the presence of other children. Director stated that S1 has since been terminated. It was also alleged that there is commingling with school age children. Throughout the course of the inevestigation, LPA made observations. During complaint inspection on 7/13/2023, LPA observed one preschool child commingled with the school age children. It was stated that the preschool child was a sibling of a school age child.

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

DATE: 07/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2023
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 3
Control Number 03-CC-20230712155651
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: 343624645
VISIT DATE: 07/28/2023
NARRATIVE
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During subsequent complaint inspection on 7/28/2023, LPA observed one school age child commingled with preschool children. The preponderance of evidence standard has been met, and the allegations are substantiated.

Title 22 deficiencies are cited on the subsequent pages of this report. Director acknowledges, that FOR TYPE A DEFICIENCIES ONLY upon receipt, licensee shall post LIC 9099D with Type A deficiencies for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. LIC 9224 must be signed by parents/guardians and kept with the children's forms as a receipt whenever any Type A documents are provided by the licensee. LIC 9224 and Appeal Rights were provided. Director's signature on this report acknowledges receipt of these rights. This report was reviewed with the Director, Sharon Simmons. An exit interview was conducted. A Notice of Site Visit was provided and shall remain posted for a period of 30 days.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20230712155651
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: 343624645
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/28/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/31/2023
Section Cited
CCR
101223(a)(1)
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(a) The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her personal relationships with staff and other persons....This requirement was not met, as evidenced by:
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Director stated that S1 has been terminated. LPA will provide personal rights training video via email. Director will provide proof of completed training by POC due date.
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Based on interviews, the facility did not comply with the above regulation, as LPA learned that a previously employed staff (S1) used inappropriate language and yelled in the presence of children. This poses an immediate health and safety risk to children in care.
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Type A
07/31/2023
Section Cited
CCR
101161(a)
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(a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. This requirement was not met, as evidenced by:
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Director will submit waiver request for first hour and last hour commingling by POC due date. Director understands that if granted, commingling shall not be conducted outside of first hour and last hour.
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Based on observation, Preschool and School Age children were commingled together during multiple inspections to the facility. This poses an immediate health and safety risk to children 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: Karyn Guerra
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3