<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343622005
Report Date: 10/19/2022
Date Signed: 10/19/2022 05:23:52 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
10/17/2022 and conducted by Evaluator Karyn Guerra
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20221017083912
FACILITY NAME:APPLE A DAY PRESCHOOL & INFANTS CTR (INF)FACILITY NUMBER:
343622005
ADMINISTRATOR:FARFAN, LILIYAFACILITY TYPE:
830
ADDRESS:5013 EL CAMINO AVENUETELEPHONE:
(916) 481-5400
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:18CENSUS: 7DATE:
10/19/2022
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Liliya FarfanTIME COMPLETED:
05:40 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff place burp clothes over infants' heads.

Staff do not perform sleep checks.

Changing tables are not properly sanitized.

Infant sheets are not properly laundered.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
At 11:30 a.m. on Wednesday, October 19th, 2022, Licensing Program Analyst (LPA) Karyn Guerra met with Director, Liliya Farfan, for the purpose of an unannounced complaint investigation. It was alleged that staff place burp clothes over infants' heads. At 11:47 a.m., LPA Guerra observed blankets covering the faces of 4 napping children in the infant classroom. LPA discussed with staff that infant's heads shall not be covered, and the blankets were immediately moved away from the face. It was also alleged that staff do not perform sleep checks. Interviews with staff stated that staff are constantly supervising and checking on napping infants, however, documentation of 15 minute checks was not observed. It was also alleged that changing tables are not properly sanitized. LPA observed cloth coverings on changing mats and a roll of disposable paper cover. While staff did state that cloth mats are sanitized after each use, LPA did observe dirt and
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2022
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 7
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
10/17/2022 and conducted by Evaluator Karyn Guerra
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20221017083912

FACILITY NAME:APPLE A DAY PRESCHOOL & INFANTS CTR (INF)FACILITY NUMBER:
343622005
ADMINISTRATOR:FARFAN, LILIYAFACILITY TYPE:
830
ADDRESS:5013 EL CAMINO AVENUETELEPHONE:
(916) 481-5400
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:18CENSUS: 7DATE:
10/19/2022
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Lilya FarfanTIME COMPLETED:
05:40 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff restrain infants in highchair.

Staff serve foods that present a choking hazard to the infants in care.

Staff are not washing infant bottles.

Insufficient spacing between cribs.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
At 11:30 a.m. on Wednesday, October 19th, 2022, Licensing Program Analyst (LPA) Karyn Guerra met with Director, Liliya Farfan, for the purpose of an unannounced complaint investigation. It was alleged that staff restrain infants in highchair. Interviews with Director stated that high chairs are used for lunch, snack, and for solo play at the consent of the child. It was stated that children will request up to play at the high chair and they will be given an activity to play. Director denied children being left in high chairs for prolonged periods of times or while children are upset. It was also alleged that staff serve foods that present a choking hazard to infants in care. Director stated that food served to infants is soaked or mashed as to prevent choking hazard. It was also stated that larger food may be served to infants so they can take a bite. It was also alleged that staff are not washing infant bottles. Director stated that milk or formula left in infant bottles
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 03-CC-20221017083912
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: APPLE A DAY PRESCHOOL & INFANTS CTR (INF)
FACILITY NUMBER: 343622005
VISIT DATE: 10/19/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
is sent home with parents at the end of the day, as not to waste. Director stated that once a bottle has been used, it is not given again to the child later in the day. It was also alleged that there is insufficient space between napping cribs. LPA observed crib area of the facility and interviewed staff. It was stated that some shorter staff may have to move a crib to reach an infant, but that infant children are not in the crib that is being moved. LPA advised about crib spacing. Changes were made to the crib space during inspection. The allegations are unsubstantiated. Although the alleged violations may have happened or are valid, the preponderance of evidence standard has not been met to fully prove of disprove that they did or did not occur, therefore, they are unsubstantiated. This report was reviewed with the director and a notice of site visit was provided and shall remain posted for a period of 30 days.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 7
Control Number 03-CC-20221017083912
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: APPLE A DAY PRESCHOOL & INFANTS CTR (INF)
FACILITY NUMBER: 343622005
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/19/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/20/2022
Section Cited
CCR
101430(a)(3)(D)
1
2
3
4
5
6
7
(D) An infant's head shall not be covered while sleeping. This requirement was not met, as evidenced by:
1
2
3
4
5
6
7
Blankets were immediately moved to uncover heads of napping infants. Director will conduct a training and will submit proof of training to LPA by POC due date.
8
9
10
11
12
13
14
Based on observation, napping children in the infant classroom had their head's covered with a blanket. This poses an immediate risk to the health and safety of children in care.
8
9
10
11
12
13
14
CCR
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Karyn Guerra
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 03-CC-20221017083912
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: APPLE A DAY PRESCHOOL & INFANTS CTR (INF)
FACILITY NUMBER: 343622005
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/19/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/26/2022
Section Cited
CCR
101428(d)(7)
1
2
3
4
5
6
7
(7) The changing table and changing pads shall be disinfected after each use even when disposal covers are used. This requirement was not met, as evidenced by:
1
2
3
4
5
6
7
Director will provide proof of training regarding disinfecting practices by POC due date.
8
9
10
11
12
13
14
Based on observation and interview, changing table mats in the facility had cloth covering with disposal covers. Staining and dirt were observed under mat. This poses a potential risk to the health and safety of children in care.
8
9
10
11
12
13
14
Type B
10/24/2022
Section Cited
CCR
101439.1(e)(1)
1
2
3
4
5
6
7
(e) Each infant's bedding shall be used for him/her only. Such bedding shall be replaced when wet or soiled, or when the crib, mat or cot is to be occupied by another infant. (1) Bedding shall be changed daily, or more often if required by Subsection (e) above. This requirement was not met, as evidenced by:
1
2
3
4
5
6
7
Director will provide documentation of updated cleaning checklist by POC due date.
8
9
10
11
12
13
14
Based on observation and interview, Infant bedding was not changed daily. This poses a potential risk to the health and safety of children in care.
8
9
10
11
12
13
14
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: Karyn Guerra
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 7
Control Number 03-CC-20221017083912
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: APPLE A DAY PRESCHOOL & INFANTS CTR (INF)
FACILITY NUMBER: 343622005
VISIT DATE: 10/19/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
discoloring under changing mat. LPA did not observe a vinyl, wipeable surface. It was also alleged that infant sheets are not properly laundered. It was learned in an interview that infant sheets are laundered weekly, or as needed when soiled. The preponderance of evidence standard has been met, and the allegations are substantiated.

Title 22 deficiencies are cited on the subsequent pages of this report. Director acknowledges, that FOR TYPE A DEFICIENCIES ONLY upon receipt, licensee shall post LIC 809D with Type A deficiencies for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. LIC 9224 must be signed by parents/guardians and kept with the children's forms as a receipt whenever any Type A documents are provided by the licensee. LIC 9224 and Appeal Rights were provided. Director's signature on this report acknowledges receipt of these rights. This report was reviewed with the Director. An exit interview was conducted. A Notice of Site Visit was provided and shall remain posted for a period of 30 days for parental review.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2022
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 03-CC-20221017083912
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: APPLE A DAY PRESCHOOL & INFANTS CTR (INF)
FACILITY NUMBER: 343622005
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/19/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/24/2022
Section Cited
CCR
101429(a)(2)(B)
1
2
3
4
5
6
7
(B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following....Documentation shall include: 1.Date. 2.Infant’s name.3.Time of each 15-minute check.
4. Initials of staff person who
conducted each check. This requirement was not met, as evidenced by:
1
2
3
4
5
6
7
Director will provide photo evidence of napping logs by POC due date.
8
9
10
11
12
13
14
Based on interview and observation, 15 minute checks of napping infants were not documented. This poses a potential risk to the health and safety of children in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Karyn Guerra
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2022
LIC9099 (FAS) - (06/04)
Page: 7 of 7