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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393621652
Report Date: 12/12/2024
Date Signed: 12/12/2024 10:44:59 AM

Unsubstantiated


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
11/21/2024 and conducted by Evaluator David Nguyen
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20241121124406
FACILITY NAME:COUNTRY CLUB EARLY CARE & LEARNING CENTERFACILITY NUMBER:
393621652
ADMINISTRATOR:VERONICA GONZALEZFACILITY TYPE:
850
ADDRESS:2448 COUNTRY CLUB BOULEVARDTELEPHONE:
(209) 941-9100
CITY:STOCKTONSTATE: CAZIP CODE:
95204
CAPACITY:72CENSUS: 49DATE:
12/12/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Christina ShortTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Personal Rights: Staff forced daycare children to stay sitting down.
INVESTIGATION FINDINGS:
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On December 12th, 2024, at 9:30 AM, Licensing Program Analysts (LPAs) David Nguyen and Deborah Khashe met facility representative, Christina Short for the purpose of delivering the complaint findings for the above complaint allegation. LPAs were granted entrance into the childcare facility by facility representative. Purpose of the inspection was explained. LPAs toured the facility inside and out and observed ratios and supervision. There were forty-nine (49) children present and being supervised by eleven (11) childcare teachers.

It was alleged that “Staff forced daycare children to stay sitting down.” Throughout the investigation, LPA conducted the investigation and interviewed with reporting party, childcare teachers, childcare children, and parents. During the interviews with teachers, children, and parents, no information was disclosed to support that staff forced childcare children to stay sitting down. The interviews produced conflicting information. During teachers’ interview, LPA learned that staff directed childcare children and redirected childcare children as needed while the children were in their cares for classroom management and management of children's behaviors. Based on lack of colloborating information, LPA is unable to determine whether staff did or did not force childcare children to stay sitting down.

Report continues on LIC9099-C…
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2024
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 53-CC-20241121124406
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: COUNTRY CLUB EARLY CARE & LEARNING CENTER
FACILITY NUMBER: 393621652
VISIT DATE: 12/12/2024
NARRATIVE
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Based on interviews and record review obtained from the reporting party, LPA David Nguyen determined that the complaint allegation was found to be UNSUBSTANTIATED, meaning although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur at the facility.

Copy of this report was reviewed and provided to facility representative, Christina Short. Notice of site visit is posted and shall remain posted for next 30 days.

An exit interview was conducted with facility presentative and Appeal Rights were provided. A Notice of Site Visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 53-CC-20241121124406
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: COUNTRY CLUB EARLY CARE & LEARNING CENTER
FACILITY NUMBER: 393621652
VISIT DATE: 12/12/2024
NARRATIVE
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During children’s file review, LPA learned that children’s licensing files had all required licensing forms completed, signed, and dated, and children’s records were maintained properly in children’s licensing files.

Based on the information obtained and children’s file review conducted, the agency has investigated the complaint and found the above allegation was determined to be UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

Exit interview conducted at which time the report was reviewed with facility representative, Christina Short. A Notice of Site Visit was provided by LPA Nguyen and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.00.

THIS IS A CONFIDENTIAL REPORT.

SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4