393621662-1-31-2022-53-CC-JLDN-CCRVTT-20220322164337

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 393621662
Report Date: 01/31/2022
Date Signed: 01/31/2022 01:57:57 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/25/2022 and conducted by Evaluator Christopher Jackson

PUBLIC

COMPLAINT CONTROL NUMBER: 53-CC-20220125143328

FACILITY NAME:	TINY TOTS ACADEMY		FACILITY NUMBER:	393621662
ADMINISTRATOR:	KETTGEN, CANDI		FACILITY TYPE:	850
ADDRESS:	250 NORTHGATE DRIVE		TELEPHONE:	(209) 294-9803
CITY:	MANTECA	STATE: CA	ZIP CODE:	95336
CAPACITY:	43	CENSUS: 21	DATE:	01/31/2022
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Candi Kettgen		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility not following protocols to prevent the spread of COVID-19

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analysts (LPAs) Christopher Jackson and Erwin Tjhia met with licensee, Candi Kettgen to open and close the complaint investigation regarding the above allegation.

During the course of the investigation, LPAs conducted interviews, and obtained information pertaining to allegation. It was alleged that the facility not following protocols to prevent the spread of COVID-19. Interviews revealed that staff, were not required to wear masks. The license explained that the facility tries to keep up to date with current guidelines, and will be modifying their protocols to accommodate the new guidelines. LPAs reviewed updated COVID19 guidelines with the licensee. In addition LPAs provided links to current state guidance regarding masks.

Based on the interviews conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. A Technical Violation was assessed on the subsequent pages. An exit interview was conducted with the Administrator. Notice of Site Visit was provided and should remain posted for 30 days.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Justin L Denton
LICENSING EVALUATOR NAME: Christopher Jackson
LICENSING EVALUATOR SIGNATURE:	DATE: 01/31/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2022

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 1