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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 054500591
Report Date: 10/19/2023
Date Signed: 10/19/2023 11:21:29 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
09/21/2023 and conducted by Evaluator David Nguyen
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20230921095217
FACILITY NAME:AMATO, AMANDA & LINDSEY, ZACHFACILITY NUMBER:
054500591
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 1DATE:
10/19/2023
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Amanda AmatoTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Licensee did not provide adequate supervision to children in care.
INVESTIGATION FINDINGS:
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On October 19th, 2023, at 10:15 AM, Licensing Program Analysts (LPAs) David Nguyen and Lauren Scott conducted a complaint investigation visit and met with Licensee, Amanda Amato. The purpose of the inspection visit was to deliver the findings for the above allegation. LPAs disclosed the purpose of the inspection and were granted entrance. LPAs toured the facility inside and outside and observed one (1) child being supervised by Licensee.

During the course of the investigation, LPA Tobias Lake conducted interviews with Licensee and Reporting Party. In addition, LPA obtained information pertaining to the allegations and observed the care and supervision of the daycare children. It was alleged that “Licensee did not provide adequate supervision to children in care.” Interviews conducted and records reviewed revealed that there was a time that Licensees, Amanda Amato did not provide adequate supervision to children while they were in her care.

Based on records reviewed and interviews conducted it was determined that 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.

----Report continues on subsequent page LIC 9099
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
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.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 53-CC-20230921095217
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: AMATO, AMANDA & LINDSEY, ZACH
FACILITY NUMBER: 054500591
VISIT DATE: 10/19/2023
NARRATIVE
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Appeal Rights and Notice of Site Visit were provided. Notice of Site Visit must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee. A notice of site visit was provided and must remain posted for 30 days. Licensee's signature on this form acknowledges receipt of this form. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

LPA Nguyen informed licensee, Amanda Amato that this report dated October 19th, 2023 documents one (1) Type A citation during the course of investigation.

Also, LPA Nguyen informed the Licensee to provide a copy of this licensing report dated October 19th, 2023 that documents any Type A citations 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. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
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
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 53-CC-20230921095217
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: AMATO, AMANDA & LINDSEY, ZACH
FACILITY NUMBER: 054500591
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/19/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/20/2023
Section Cited
CCR
102417(a)
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102417 Operation of a Family Child Care Home

(a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.

This requirement was not met as evidenced by:
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Licensee agrees to complete the “Supervision” training session on the CCLD website. In addition, the licensee agrees to closely supervise daycare children while they are in her care.
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Based on records reviewed and interviews conducted, it was revealed that licensee did not provide adequate supervision to children in care. This poses an immediate health, safety, or personal rights risk to children 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.
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
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
LIC9099 (FAS) - (06/04)
Page: 3 of 3