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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343623068
Report Date: 06/05/2025
Date Signed: 06/05/2025 12:50:11 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
05/16/2025 and conducted by Evaluator Erwina Pascual-Golamco
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20250516083534
FACILITY NAME:KIDS INC PRESCHOOL & DISCOVERY CENTERFACILITY NUMBER:
343623068
ADMINISTRATOR:AMANDA COFFMANFACILITY TYPE:
830
ADDRESS:1740 PRAIRIE CITY ROADTELEPHONE:
(916) 743-0857
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY:51CENSUS: 32DATE:
06/05/2025
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Kelli VaccaroTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Staff left child without supervision
INVESTIGATION FINDINGS:
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Licensing Program Analyst Erwina Pascual-Golamco (LPA) met with Licensee (L), Kelli Vaccaro, to deliver findings. LPA toured the facility, including all activity and classroom spaces, and outdoor play areas.

Throughout the course of the investigation, LPA toured the facility, observed staff provide care to children, and conducted interviews. Based on multiple witness statements and interviews, a child was left in the infant/toddler playground when the group and staff responsible for the child went back to their classroom from outdoor play and according to Director, child was out of sight for approximately two minutes, and another staff member from adjacent preschool playground saw the child and brought the child back to their specific group. Based on LPA interviews and witness statements, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

continued on LIC 9099-C...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2025
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 3
Control Number 03-CC-20250516083534
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: KIDS INC PRESCHOOL & DISCOVERY CENTER
FACILITY NUMBER: 343623068
VISIT DATE: 06/05/2025
NARRATIVE
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California Code of Regulations, Title 22, Division 12, Chapter 1, is being cited on the attached LIC 9099-D page. L was informed that the Type A deficiency cited today is an immediate civil penalty for absence of supervision and is being assessed in the amount of $500. L shall also provide a copy of this licensing report to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. Exit interview was conducted with L, appeal rights were provided, and A notice of site visit was given to L, Kelli Vaccaro, who will post it where visible to parents/guardians for 30 days. A signed Acknowledgement of Receipt of the Licensing Report (LIC 9224) must be placed in the child's file for verification.
SUPERVISORS NAME: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 03-CC-20250516083534
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: KIDS INC PRESCHOOL & DISCOVERY CENTER
FACILITY NUMBER: 343623068
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/05/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/06/2025
Section Cited
CCR
101429(a)(1)
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101429 Responsibility for Providing Care and Supervision for Infants (a) In addition to Section 101229, the following shall apply: (1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times.


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Licensee stated after incident, facility has been printing their roster per classroom daily, and staff does a name to face check on the rosters, and submit the rosters to administration at the end of the day. Licensee stated this is done at every transition. Licensee provided copies to LPA. Deficiency cleared at time of visit.
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This requirement is not met as evidenced by: Based on multiple witness statements and interviews, a child was left in the infant/toddler playground when the group and staff responsible for the child went back to their classroom from outdoor play and according to Director, child was out of sight for approximately two minutes, and another staff member from adjacent preschool playground saw the child and brought the child back to their specific group, which poses an immediate 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: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2025
LIC9099 (FAS) - (06/04)
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