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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343610266
Report Date: 05/08/2024
Date Signed: 05/08/2024 11:41:22 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO 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
03/13/2024 and conducted by Evaluator Jennifer Velasco
COMPLAINT CONTROL NUMBER: 03-CC-20240313142325
FACILITY NAME:CADENCE EDUCATION LLC - CLARKSVILLEFACILITY NUMBER:
343610266
ADMINISTRATOR:SANDRA HAINESFACILITY TYPE:
850
ADDRESS:76 CLARKSVILLE ROADTELEPHONE:
(916) 983-0224
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY:180CENSUS: 138DATE:
05/08/2024
UNANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:Sandra HainesTIME COMPLETED:
12:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Day care out of ratio
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Erwina Pascual-Golamco and LPA Jennifer Velasco met with Facility Representative, Director Sandra Haines (Director), for the purpose of subsequent complaint investigation inspection pertaining to the above allegation. The purpose of today's inspection was explained to Director. During today's inspection, LPAs conducted interviews, observed care, and obtained relevant documentation.
Witness statements, LPA observations, and/or document reviews failed to corroborate the allegation that the facility operated out of ratio. Although the allegation may have happened, there is not a preponderance of evidence to prove the allegation; therefore, the allegation is unsubstantiated. Exit interview was conducted and report was reviewed with Facility Representative, Sandra Haines. Appeal rights were provided. Notice of site visit was given and must remain posted for 30 days.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Jennifer Velasco
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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