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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313623395
Report Date: 03/18/2021
Date Signed: 03/18/2021 02:16:15 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/29/2021 and conducted by Evaluator Amanda Blesi
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20210129113702
FACILITY NAME:GUIDING STARS ACADEMYFACILITY NUMBER:
313623395
ADMINISTRATOR:SHEPARD, MALLORYFACILITY TYPE:
830
ADDRESS:595 A STREETTELEPHONE:
(916) 645-1099
CITY:LINCOLNSTATE: CAZIP CODE:
95648
CAPACITY:16CENSUS: 11DATE:
03/18/2021
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Mallory ShepardTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Facility is out of ratio
INVESTIGATION FINDINGS:
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On 3/18/21 at approximately 1:45pm, due to the COVID-19 pandemic, Licensing Program Analyst (LPA), Amanda Blesi, conducted a tele-inspection via Facetime and met with Director, Mallory Shepard, to deliver findings and conclude the complaint investigation of the above allegation. Census was 11 infants supervised by 3 staff. It was alleged that the infant classroom is operating out of ratio, particularly in the morning from 7am – 8am. Based on information obtained during interviews, review of parent sign in sheets, and review of staff clock in times, the infant room was out of ratio on 12/15/2020 from 7:35am to 7:45am. In addition, staff acknowledged there were a few days when parents would drop off their children earlier than anticipated causing the infant room to be out of ratio for short periods of time until another staff could be obtained. Director states this occurred a few times, and since then, she has adjusted staff schedules so there is adequate coverage. Based on the information obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 12) are being cited on the attached LIC 9099-D.
REPORT IS CONTINUED ON THE FOLLOWING PAGE SEE LIC9099-C...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Amanda Blesi
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2021
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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/29/2021 and conducted by Evaluator Amanda Blesi
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20210129113702

FACILITY NAME:GUIDING STARS ACADEMYFACILITY NUMBER:
313623395
ADMINISTRATOR:SHEPARD, MALLORYFACILITY TYPE:
830
ADDRESS:595 A STREETTELEPHONE:
(916) 645-1099
CITY:LINCOLNSTATE: CAZIP CODE:
95648
CAPACITY:16CENSUS: DATE:
03/18/2021
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Mallory ShepardTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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9
Personal Rights - Staff handles day care children in a rough manner
INVESTIGATION FINDINGS:
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On 3/18/21 at am due to the COVID-19 pandemic, Licensing Program Analyst (LPA), Amanda Blesi, conducted a tele-inspection via Facetime and met with Director, Mallory Shepard, to deliver findings and conclude the complaint investigation of the above allegation. Census was 11 infants supervised by 3 staff.

The complainant alleged that a staff member handled day care children in a rough manner. During the investigation, LPA conducted interviews with both staff and parents. Based on the interviews, the preponderance of evidence standard was not met; therefore, the allegation is UNSUBSTANTIATED.

An exit interview was conducted and Notice of Site Visit was provided to be posted for 30 days. Facility evaluation report was emailed to Director and an email verification of receipt of report will be used in lieu of a signature on this report.


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Amanda Blesi
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 03-CC-20210129113702
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: GUIDING STARS ACADEMY
FACILITY NUMBER: 313623395
VISIT DATE: 03/18/2021
NARRATIVE
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Due to the issuance of a Type A Citation during today's tele- inspection, a copy of this Licensing Report must be given to each existing parent by the end of today or next day child is in care, and to the parent of children enrolled over the next 12 months. In addition, a copy of the LIC 9224 Acknowledgement of Receipt of Licensing Reports must be signed by each parent and kept in each child's file.

An exit interview was conducted and Notice of Site Visit was provided to be posted for 30 days. Facility evaluation report was emailed to Director and an email verification of receipt of report will be used in lieu of a signature on this report.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Amanda Blesi
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 03-CC-20210129113702
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: GUIDING STARS ACADEMY
FACILITY NUMBER: 313623395
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/18/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/19/2021
Section Cited
CCR
101416.5(b)
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Infant ratio: There shall be a ratio of one teacher for every four infants in attendance. This requirement was not met when on 12/15/2020, there was one teacher to 5 infants from 7:35am - 7:43am then two more infants arrived at 7:43am and 7:45am. This is an immediate health and safety risk to children in care.
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Director states she has adjusted staff schedules so there are more teachers in the early morning at drop off time. To correct the deficiency,
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director shall submit a staff schedule to LPA by 03/19/2021 close of business.
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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: Keven Peters
LICENSING EVALUATOR NAME: Amanda Blesi
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 4