483008410-6-13-2023-01-CC-LLEI-CT2US2-20230622154934

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 483008410
Report Date: 06/13/2023
Date Signed: 06/13/2023 09:07:48 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/30/2023 and conducted by Evaluator Elpidia Hernandez Torres

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20230330113825

FACILITY NAME:	KHAKHA, SARPREET FCCH		FACILITY NUMBER:	483008410
ADMINISTRATOR:	KHAKHA, SARPREET		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(707) 720-5491
CITY:	FAIRFIELD	STATE: CA	ZIP CODE:	94533
CAPACITY:	14	CENSUS: 9	DATE:	06/13/2023
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Licensee Sarpreet Khakha		TIME COMPLETED:	09:20 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Day care child sustained an unexplained injury while in care
Licensee left day care child unattended while in care
Licensee did not adequately supervise day care child while in care

INVESTIGATION FINDINGS:

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

Licensing Program Analyst (LPA) Elpidia Hernandez Torres conducted a subsequent complaint investigation visit with Licensee for the purpose of delivering complaint investigation findings. It has been alleged; Day care child sustained an unexplained injury while in care, Licensee left day care child unattended while in care, and Licensee did not adequately supervise day care child while in care.

During the initial investigation an interview was conducted with licensee, two staff members (S1, S2) and one child (C1) on 04/06/2023, Licensee denied the allegations. S1 reported there was a child in care (C3) for short period of time, during C3’s time at the daycare, they were playing outside in a toy car when they fell out of it causing a bump on C3’s head. In another occasion C3 was very upset and to calm him down S1 took C3 into the living room to watch TV, when C3 wasn’t calming down S1 walked to the daycare room through the laundry room to grab a toy, C3 followed S1 crying when guardian of C3 arrived and observed C3 crying. S1 reported S2 begins work at 08:00AM and is always at the daycare. When S2 is not working at the day care, there are back up assistants available. S2 reported they begin work at 08:30 AM, and were not working in the home at the time of C3’s attendance. S2 denied the allegations and reported since they began working In the facility no child has gotten an unexplained injury, and S1 cares for all the children in the daycare. S2 further reported part of the morning routine is S1 preps the morning breakfast, so by the time S2 arrives, S2 heats up the breakfast then serves the meal with S2 to the children in the day care room. C1 reported, the daycare providers are S1 and S2. C1 further reported children get hurt while playing outside sometimes, but not in the daycare room, and when children get hurt outdoors S1 lets them stay inside with S1. On 06/08/2023 S1 corroborated the statement reporting, when children get hurt outdoors they either take a rest period outdoors with S1 or they sit indoors in the family room while S2 preps lunch. cont on 809-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Leslie Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres	TELEPHONE: (707) 771-5568
LICENSING EVALUATOR SIGNATURE:	DATE: 06/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2023

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 4

Control Number 01-CC-20230330113825

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: KHAKHA, SARPREET FCCH	FACILITY NUMBER: 483008410
	VISIT DATE: 06/13/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Interviews were conducted with five guardians ( G1-G5) and one child ( C2) between 04/06/2023- 06/01/2023. Four guardians reported when their children have gotten hurt in the day care S1 has told them about, and provided an ice pack when needed. One guardian reported their child came home with a large bump on their head and were told by S1 that the child fell, but on a different occasion child arrived home with scars on their feet and the day care providers were not able to explain how it happened. C2 reported when a child gets injured in the day care S1 and S2 Kiss the site of injury. One guardian reported when their child was injured, S1 was the only provider present but didn’t report how many other children were present. Three guardians (G1,G2,G4) reported when they drop of their children in the morning before 08:30AM, the only provider present is S1. Interviews corroborated while G1, G2, G4 are dropping off their children S1 is walking back and forth from the kitchen to the day care room with waters, or other items for the day care room. Interviews revealed this has only happened a few times. Guardians reported during that time, S1 is only out of the room for no longer than two minutes and guardians will wait in the day care room before leaving so S1 can see the guardian drop off child and leave. G1, G2, G4 all reported S2 does not arrive to the facility until 08:30 AM, and while they are dropping off their children there are about 3-4 children in the day care room watching TV. G3 reported the only time children have been left unattended is when they are going to the bathroom which is down the hall from the day care room. Interviews reveal three guardians believe there is adequate supervision in the day care. One guardian reported they don’t have much interaction with S2, so their experience has been based solely on interaction with S1. LPA attempted to interview two more daycare children over the phone, and their guardians denied the request.

LPA arrived the facility on 06/08/2023 to make observations and conduct additional interviews. LPA arrived to the facility at 08:14AM and observed S1 in the day care room with eight children. The children’s water bottles were placed on the table and children were co-mingling. S1 stayed in the room and was interacting with guardians, as guardians were arriving to drop off children. At 08:35 AM S2 arrived to the facility, as soon as S2 arrived they went to the kitchen and began to heat up the children’s breakfast for the day. While S2 was in the kitchen S1 had children sit in their designated area based on age and helped S2 serve children waffles.

Based on interviews conducted and records reviewed, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations occurred, therefore the allegations are Unsubstantiated.

This report was reviewed and discussed with Licensee, who was provided with a copy of this CIR; and Appeal Rights. All licensing reports are public information and must be made available upon request for at least three years.

There were no Title 22 deficiencies cited during today’s inspection.

SUPERVISOR'S NAME: Leslie Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres	TELEPHONE: (707) 771-5568
LICENSING EVALUATOR SIGNATURE:	DATE: 06/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 4