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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343622006
Report Date: 01/28/2025
Date Signed: 01/28/2025 01:21:39 PM

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
01/22/2025 and conducted by Evaluator Josiah Gathing
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20250122142108
FACILITY NAME:APPLE A DAY PRESCHOOL & INFANT CTRFACILITY NUMBER:
343622006
ADMINISTRATOR:INGRAM, MICHELLEFACILITY TYPE:
850
ADDRESS:5013 EL CAMINO AVETELEPHONE:
(916) 481-5400
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:36CENSUS: 4DATE:
01/28/2025
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Folake OdunlamiTIME COMPLETED:
01:35 PM
ALLEGATION(S):
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Facility is in disrepair
INVESTIGATION FINDINGS:
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On Tuesday, January 28, 2025, at approximately 11:45 AM Licensing Program Analyst (LPA) Josiah Gathing met with Facility Representative Folake Odunlami, for the purpose of a complaint investigation and to deliver findings. It was alleged that the facility is in disrepair. Throughout the course of the investigation, LPA conducted interviews and made observations. During the investigation, LPA observed several cracks in one of the preschool windows which had been covered by tape. LPA determined that the cracked window was not accessible to children and did not pose an immediate health or safety risk to children in care. LPA observed that the restrooms in the facility were in sanitary condition, and there were no signs of leaking from the toilets or sinks. Staff stated in interview that they have not observed leaking in the restrooms. LPA observed that a screw in one of the ceiling vents in the preschool room was detached and the vent was partially hanging out of its fixture.
Therefore, based on observation, 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: 01/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2025
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-20250122142108
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: APPLE A DAY PRESCHOOL & INFANT CTR
FACILITY NUMBER: 343622006
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/28/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/28/2025
Section Cited
CCR
101239(n)
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101239 Fixtures, Furniture, Equipment and Supplies (n) Furniture and equipment shall be maintained in good condition, free of sharp, loose or pointed parts.
The above requirement was not met as evidenced by:
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Facility Representative will provide proof to LPA that the ceiling vent has been secured to its fixture by the Plan Of Correction (POC) due date.
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Based on observation the facility did not comply with the above regulation as a preschool room vent was partially detatched from the ceiling 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: 01/28/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2