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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343617315
Report Date: 07/26/2024
Date Signed: 07/26/2024 10:31:00 AM

Substantiated


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
05/23/2024 and conducted by Evaluator Josiah Gathing
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20240523111305
FACILITY NAME:CADENCE EDUCATION LLC - EL CAMINOFACILITY NUMBER:
343617315
ADMINISTRATOR:CYNTHIA JONESFACILITY TYPE:
850
ADDRESS:5739 EL CAMINO AVENUETELEPHONE:
(916) 481-6144
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:84CENSUS: 50DATE:
07/26/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Cynthia JonesTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Staff do not ensure reporting requirements are followed
INVESTIGATION FINDINGS:
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On Friday, July 26, 2024, at approximately 9:30 AM Licensing Program Analyst (LPA) Josiah Gathing met with Program Director Cynthia Jones, for the purpose of a complaint investigation and to deliver findings. It was alleged that staff do not ensure reporting requirements are followed. Throughout the course of the investigation, LPA conducted interviews, reviewed documents, and made observations. LPA found that an incident report was missing from a child's file.
Therefore, based on record review, the preponderance of evidence standard has been met, and the allegation is substantiated. An exit interview was conducted and a notice of site visit provided. Notice of site visit shall remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Josiah Gathing
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2024
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 2
Control Number 03-CC-20240523111305
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: CADENCE EDUCATION LLC - EL CAMINO
FACILITY NUMBER: 343617315
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/26/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/16/2024
Section Cited
CCR
101226(a)(2)
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101226 Health-Related Services (a)... (2) In the case of less serious injuries... the licensee shall document the injury in the child's record and notify the child's authorized representative of... the injury when the child is picked up... This requirement was not met as evidenced by:
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Director will submit an itinerary for staff training to LPA including reporting requirement training. Director stated staff training is scheduled for 8/12/2024.
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Based on record review the facility did not comply with the above regulation as an incident report was missing from a child's file which poses 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.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Josiah Gathing
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2024
LIC9099 (FAS) - (06/04)
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