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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 573621841
Report Date: 10/19/2023
Date Signed: 10/19/2023 03:56:26 PM

Document Has Been Signed on 10/19/2023 03:56 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:CARING CONNECTION CHILDREN'S CENTER, INC.FACILITY NUMBER:
573621841
ADMINISTRATOR:MELANIE FRISTOEFACILITY TYPE:
850
ADDRESS:703 WESTACRE ROADTELEPHONE:
(916) 899-9121
CITY:WEST SACRAMENTOSTATE: CAZIP CODE:
95691
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 22DATE:
10/19/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Lauren GarciaTIME COMPLETED:
04:30 PM
NARRATIVE
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On 10/19/2023, Licensing Program Analyst (LPA) Erwin Tjhia met with the Center Director, Lauren Garcia for the purpose of an unannounced Case Management inspection. LPA observed 22 children supervised by 4 staff.

On 10/13/2023, facility contacted CCLD regarding an Unusual Incident Report (UIR) that stated that a child was found wandering outside the facility by a neighbor. LPA conducted interviews with staff and learned that the child was 22 feet and 4 inches away from the facility without the visual supervision of staff for 5 minutes on 10/13/2023.

Based on the interviews and information obtained, one Title 22 Deficiency has been issued on the attached LIC 809-D. The facility was informed that this report dated 10/19/2023 documents one Type A citation which shall be posted for 30 consecutive days. The facility shall also provide a copy of this licensing report to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. Because the citation involved an absence of supervision, an immediate civil penalty of $500 has been issued.

A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. Facility has been provided with appeal rights.

Exit interview conducted and report was reviewed with Center Director, Lauren Garcia. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Erwin Tjhia
LICENSING EVALUATOR SIGNATURE: DATE: 10/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/19/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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Document Has Been Signed on 10/19/2023 03:56 PM - It Cannot Be Edited


Created By: Erwin Tjhia On 10/19/2023 at 03:34 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: CARING CONNECTION CHILDREN'S CENTER, INC.
FACILITY NUMBER: 573621841

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/19/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/19/2023
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision... (1) No child(ren) shall be left without the supervision of a teacher at any time...Supervision shall include visual observation. This requirement was not met as evidenced by:
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Class schedules will be adjusted so there will always be a teacher and class in the main room during the morning program. Adding a bell to the front door to alert staff when the door is opened. Installing child's proof locked on the child's classroom door.
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Based on interviews, the facility did not comply with the section cited above as a child was wandering outside the facility without staff supervision which poses an immediate health, safety or personal rights risk to persons in care.
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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.
SUPERVISOR'S NAME:Bettina Engelman
LICENSING EVALUATOR NAME:Erwin Tjhia
LICENSING EVALUATOR SIGNATURE:
DATE: 10/19/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/19/2023


LIC809 (FAS) - (06/04)
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