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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 344501377
Report Date: 04/04/2025
Date Signed: 04/04/2025 04:26:36 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. 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
04/01/2025 and conducted by Evaluator Katy Velazquez
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20250401084834
FACILITY NAME:LITTLE FERNS CHILD DEVELOPMENT CENTERFACILITY NUMBER:
344501377
ADMINISTRATOR:KIEL, MICHELLEFACILITY TYPE:
860
ADDRESS:10374 TWIN CITIES RDTELEPHONE:
(916) 296-4934
CITY:GALTSTATE: CAZIP CODE:
95632
CAPACITY:100CENSUS: 5DATE:
04/04/2025
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Michelle KielTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Facility is not providing adequate supervision.
INVESTIGATION FINDINGS:
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On 04/04/2025, Licensing Program Analyst Katy Velazquez (LPA) conducted an unannounced complaint investigation regarding the facilty's infant component of the license. LPA met with Director Michelle Kiel (D1). LPA accessed Guardian to determine that all required staff members were background cleared and associated to the license.
Throughout the course of the investigation, LPA conducted physical plant inspections, on-site observations, interviews, reviewed and collected documentation. It was alleged that the facilty is not providing adequate supervision during diaper changing. Diaper logs record early morning changes when 1 staff member is present in the infant classroom. When the staff member's line of sight is on the diapering infant, the infants within the classroom are lacking visual observation.
Based on interviews, file reviews, and observations conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. A Type-B deficiency was cited on a subsequent 9099-D page.
CONTINUED ON 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Katy Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2025
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 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. 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
04/01/2025 and conducted by Evaluator Katy Velazquez
COMPLAINT CONTROL NUMBER: 53-CC-20250401084834

FACILITY NAME:LITTLE FERNS CHILD DEVELOPMENT CENTERFACILITY NUMBER:
344501377
ADMINISTRATOR:KIEL, MICHELLEFACILITY TYPE:
860
ADDRESS:10374 TWIN CITIES RDTELEPHONE:
(916) 296-4934
CITY:GALTSTATE: CAZIP CODE:
95632
CAPACITY:100CENSUS: 5DATE:
04/04/2025
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Michelle KielTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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9
Facility is operating out of ratio.
INVESTIGATION FINDINGS:
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On 04/04/2025, Licensing Program Analyst Katy Velazquez (LPA) conducted an unannounced complaint investigation regarding the facilty's infant component of the license. LPA met with Director Michelle Kiel (D1). LPA accessed Guardian to determine that all required staff members were background cleared and associated to the license. LPA observed 5 infants in care.
Throughout the course of the investigation, LPA conducted physical plant inspections, on-site observations, interviews, reviewed and collected documentation. It was alleged that the facilty is operating out of ratio. On 04/01/2025, 1 staff member was supervising the infant classroom when a 5th infant arrived for drop-off. An additional staff member stood in the door way of the classroom to ensure ratio until the infant was moved to another classroom to ensure proper ratio supervision.
Based on interviews, documentation, and other information gathered, there was not a preponderance of evidence to prove or negate the allegation, therefore the allegation is UNSUBSTANTIATED. In the areas that were evaluated on 04/04/2025, no deficiencies were cited during today's inspection.
CONTINUED ON 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Katy Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 53-CC-20250401084834
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: LITTLE FERNS CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 344501377
VISIT DATE: 04/04/2025
NARRATIVE
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An exit interview was conducted with Director Kiel and Appeal Rights were provided by LPA. A Notice of Site visit was posted by LPA and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Katy Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 53-CC-20250401084834
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: LITTLE FERNS CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 344501377
VISIT DATE: 04/04/2025
NARRATIVE
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An exit interview was conducted, and the report was reviewed with Director Kiel. LPA provided Licensee Appeal Rights to D1. A Notice of Site visit was posted by LPA and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Katy Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 53-CC-20250401084834
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: LITTLE FERNS CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 344501377
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/11/2025
Section Cited
CCR
101229(a)(1)
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Responsibility for Providing Care and Supervision...
(1) No child(ren) shall be left without the supervision of a teacher at any time, ... Supervision shall include visual observation.
This regulation was not met as evidenced by
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Director Kiel will create a diapering and potty training policy. Staff members will be trained on the policy and sign the policy. The signed policies will be emailed to LPA by 5:00 PM on 04/11/2025.
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1 teacher alone conducting diaper changes in the infant classroom. This poses/posed a 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: Karyn Guerra
LICENSING EVALUATOR NAME: Katy Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5