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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393621662
Report Date: 06/30/2023
Date Signed: 06/30/2023 01:55:20 PM

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
04/05/2023 and conducted by Evaluator Corina Beckby
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20230405085049
FACILITY NAME:TINY TOTS ACADEMYFACILITY NUMBER:
393621662
ADMINISTRATOR:CANDI KETTGENFACILITY TYPE:
850
ADDRESS:250 NORTHGATE DRIVETELEPHONE:
(209) 294-9803
CITY:MANTECASTATE: CAZIP CODE:
95336
CAPACITY:43CENSUS: 32DATE:
06/30/2023
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Renae Showman and Candi KettigenTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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9
Personal Rights (Facility staff did not provide a safe environment for children in care)

INVESTIGATION FINDINGS:
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13
Licensing Program Analyst (LPA) Corina Beckby met with Directors, Renae Showman and Candi Kettigen, to deliver findings for the above allegation.

During the investigation, LPA toured the inside and outside of the facility, observed interactions with children in care, conducted interviews, obtained facility roster, Unusual Incident Report, personnel report, patient clinical summary, police report, and witness statement. It was alleged that C1 was assaulted by a non-staff member on the playground. There were inconsistent statements regarding if a non-staff member grabbed C1’s arm or just placed hand out to avoid C1 from bothering another student. Pictures could not be provided regarding injuries sustained. The facility was in ratio and staff were adequately supervising children. Majority of parents interviewed stated they felt it was a safe facility, like the teachers, and appreciate the quick communication between them and the facility.
Based on the lack of clear corroborating evidence, the above allegation could not be substantiated or dismissed. 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; therefore, the finding is UNSUBSTANTIATED.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Corina Beckby
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2023
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 2
Control Number 53-CC-20230405085049
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: TINY TOTS ACADEMY
FACILITY NUMBER: 393621662
VISIT DATE: 06/30/2023
NARRATIVE
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An exit interview was conducted in which the report was reviewed and discussed with the Directors,Renae Showman and Candi Kettigen. LPA provided a copy of the report and Appeal Rights to Licensee. A Notice of Site Visit was posted by LPA and Licensee understands it must remain posted for 30 days. A Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Corina Beckby
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2