394500440-5-17-2024-53-CC-BENN-D5PTNU-20240528145317

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 394500440
Report Date: 05/17/2024
Date Signed: 05/17/2024 10:45:35 AM

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
03/29/2024 and conducted by Evaluator Elvira Sierra

PUBLIC

COMPLAINT CONTROL NUMBER: 53-CC-20240329141338

FACILITY NAME:	PARVINS HOPELAND PRESCHOOL		FACILITY NUMBER:	394500440
ADMINISTRATOR:	U.ALGAPPAN/ETHERTON SANDRA		FACILITY TYPE:	850
ADDRESS:	5965 N PERSHING AVE		TELEPHONE:	(209) 474-9144
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95207
CAPACITY:	35	CENSUS: 24	DATE:	05/17/2024
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Unnamalai Algappan		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Reporting Requirements-Staff did not properly report an incident

INVESTIGATION FINDINGS:

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On May 17, 2024, Licensing Program Analyst (LPA) Elvira Sierra conducted an unannounced complaint inspection visit to deliver findings for the above complaint allegations and met with Director, Unnamalai Algappan. Present in the facility were Director and four staff caring for 24 children. Also, a housekeeping staff was present. All staff present today have criminal record clearance on file with Licensing office.

It was alleged that staff did not properly report an incident. LPA conducted interviews, reviewed records, and collected additional documentation pertaining to the allegation. LPA learned during interviews with staff that facility failed to report unusual incidents occurred on 3/24/2024 and 03/26/24. Two cases of conjunctivitis (pink eye) were reported to the facility. LPA discussed reporting requirements with facility representative and advised to report any outbreaks of two or more cases to the Department. Facility representative stated that facility contacted local health department and informed parents.
Report continues subsequent page 809C--

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2024

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

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
03/29/2024 and conducted by Evaluator Elvira Sierra

PUBLIC

COMPLAINT CONTROL NUMBER: 53-CC-20240329141338

FACILITY NAME:	PARVINS HOPELAND PRESCHOOL		FACILITY NUMBER:	394500440
ADMINISTRATOR:	U.ALGAPPAN/ETHERTON SANDRA		FACILITY TYPE:	850
ADDRESS:	5965 N PERSHING AVE		TELEPHONE:	(209) 474-9144
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95207
CAPACITY:	35	CENSUS: 24	DATE:	05/17/2024
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Unnamalai Algappan		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Personal Rights-Staff did not implement practices to mitigate spread of communicable disease

INVESTIGATION FINDINGS:

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On 05/17/24, Licensing Program Analyst (LPA) Elvira Sierra met with Director, Unnamalai Algappan to deliver complaint finding for the above allegation. Upon arrival, LPA observed 24 children supervised by the Director and four staff. Also a housekeeping staff was present during the inspection.

It was alleged that staff did not implement practices to mitigate spread of communicable disease. During the investigation LPA conducted interviews with staff. It was determined that there were two confirmed cases of pink eye at the facility. Potential and confirmed cases were told to receive a doctor’s note and not return before 24 hours with prescribed eye drops. Director stated that facility was taking precautions by cleaning, sanitizing, and washing hands more often. Based on the information received, 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 allegation is unsubstantiated.
This report and Appeal of Rights were discussed and provided to facility representative, Unnamalai Algappan. Exit interview conducted and Notice of Site Visit was posted. Notice of Site Visit must remain posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 53-CC-20240329141338

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: PARVINS HOPELAND PRESCHOOL	FACILITY NUMBER: 394500440
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/17/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 05/31/2024 Section Cited CCR 101212(d)(1)	1 2 3 4 5 6 7	101212(d)(1) Reporting Requirements...a report shall be made to the Department by telephone or fax within the Department's next working day andduring its normal business hours.In addition, a written report containing the information specified in (d)(2) below sall	1 2 3 4 5 6 7	POC: Director stated that she will review Title 22 reporting requirements regulation and will submit a statement that she discussed with staff and understands reporting requirement. An LIC 624 Unusual Incident Report will be submitted via email to LPA by due date.
	8 9 10 11 12 13 14	be submitted to the Department within seven days following the occurrence of such event... This requirement was not met as evidenced by facility failed to report incidents ocurred on 03/24/24 and 03/26/24 not being reported to the Department and an LIC 624 not being submitted within 7 days.	8 9 10 11 12 13 14
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	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2024

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 53-CC-20240329141338

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: PARVINS HOPELAND PRESCHOOL	FACILITY NUMBER: 394500440
	VISIT DATE: 05/17/2024

NARRATIVE

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Based on the information obtained during the investigation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.
The following Title 22 Deficiency is being cited on the subsequent 9099-D page. Exit interview was conducted, this report and Appeal Rights were discussed and provided to facility representative, Unnamalai Algappan. Notice of Site Visit was posted.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2024

LIC9099 (FAS) - (06/04)

Page: 4 of 4