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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 394500423
Report Date: 04/18/2024
Date Signed: 04/18/2024 11:51:09 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 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
01/29/2024 and conducted by Evaluator Stacey Williams
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20240129115008
FACILITY NAME:TINY TOTS ACADEMYFACILITY NUMBER:
394500423
ADMINISTRATOR:CANDI KETTGENFACILITY TYPE:
840
ADDRESS:250 NORTHGATE DRIVETELEPHONE:
(209) 294-9803
CITY:MANTECASTATE: CAZIP CODE:
95336
CAPACITY:15CENSUS: 0DATE:
04/18/2024
UNANNOUNCEDTIME BEGAN:
09:37 AM
MET WITH:Candi Kettgen TIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Lack of Supervision: Staff did not properly supervise children, resulting in a child inappropriately touching another child.
INVESTIGATION FINDINGS:
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On April 18, 2024, Licensing Program Analysts (LPAs) Stacey Williams and Janie Davis met with Licensee, Candi Kettgen for the purpose of delivering complaint findings. There were no children present for the school age program during the inspection.

Community Care Licensing conducted an investigation regarding the complaint allegation listed above. It was alleged that Staff did not properly supervise children, resulting in a child inappropriately touching another child. The facility was toured, and interviews were conducted with staff, children in care and parents of children in care. The reporting party is anonymous, therefore was unable to be interviewed. Interviews conducted revealed that an incident occurred in the classroom where two children were together under a table in a makeshift fort. Staff had limited sight of the two children due to the position of the blanket. Staff confirmed the blanket covered most of the table. Consistent statements revealed that it was brought to staff’s attention that the two children were seen engaging in an inappropriate manner while in the fort. Staff immediately separated the children and children are no longer allowed to build forts in the classroom.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2024
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 3
Control Number 53-CC-20240129115008
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: TINY TOTS ACADEMY
FACILITY NUMBER: 394500423
VISIT DATE: 04/18/2024
NARRATIVE
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Based on the evidence received a preponderance of evidence has been met to substantiate the allegation. Deficiencies will be cited on subsequent page, LIC 9099D.

Upon receipt of Type A citations, the facility shall post and provide copies of the LIC 9099D for parents/guardians of children currently in care and for parents/guardians of newly enrolled children for the next 12 months. The facility must also keep the signed LIC 9224, Acknowledging Receipt of Licensing Reports LIC 9009D in each child's files.



An Exit interview was conducted at which time the report was reviewed with Licensee, Candi Kettgen. A Notice of Site Visit was posted by LPA Williams and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.00.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 53-CC-20240129115008
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: TINY TOTS ACADEMY
FACILITY NUMBER: 394500423
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/19/2024
Section Cited
CCR
101229
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(a) The licensee shall provide care and supervision as necessary to meet the children's needs.
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Licensee stated that children are no longer allowed to make forts in the classroom. Staff will review Title 22 regulations concerning care and supervision. Licensee shall include training on protocol for visual awareness for children in all surroundings (classroom and outdoor play)
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This requirement was not met as evidenced by: Consistent statements revealed that two children were together under a table in a makeshift fort with a blanket covering most of the table. Staff had limited sight of the children, which resulted in them engaging in an inappropriate manner. This poses an immediate risk to the health and safety of children in care.
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Licensee shall provide an overview of the training that was conducted and a staff roster with signatures. Licensee will provide a written statement to CCL by POC date informing of training dates.
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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: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3