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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343623422
Report Date: 03/20/2024
Date Signed: 03/20/2024 04:53:01 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
03/14/2024 and conducted by Evaluator Erwina Pascual-Golamco
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20240314144903
FACILITY NAME:BUILDING KIDZ OF RANCHO CORDOVAFACILITY NUMBER:
343623422
ADMINISTRATOR:MANCHESTER, ANGELINAFACILITY TYPE:
850
ADDRESS:1941 ZINFANDEL DRIVETELEPHONE:
(916) 706-2653
CITY:RANCHO CORDOVASTATE: CAZIP CODE:
95670
CAPACITY:45CENSUS: 27DATE:
03/20/2024
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Danielle LawTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Hazards accessible to children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst Erwina Pascual-Golamco (LPA) met with current Director Danielle Law for the purpose of opening and closing a complaint investigation of the above allegation. The purpose of today's inspection was explained.

It was alleged that facility has hazards accessible to children. Throughout the course of investigation, LPA conducted inspections and observations, and interviewed staff. LPA observed that the cubbies in the preschool bathroom had diaper creams and over the counter ointments that are accessible to children. Based on LPA inspection and observation, the preponderance of evidence standard has been met, therefore the above allegation is SUBSTANTIATED.

A Title 22 deficiency is cited on the following LIC9099-D. Exit interview conducted and report was reviewed with Director. A notice of site visit was given and must remain posted for 30 days. Appeals right provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2024
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 3
Control Number 03-CC-20240314144903
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: BUILDING KIDZ OF RANCHO CORDOVA
FACILITY NUMBER: 343623422
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/20/2024
Section Cited
CCR
101238(g)
1
2
3
4
5
6
7
101238 Buildings and Grounds
(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Director placed diaper creams and over the counter ointments on top of shelf in the preschool bathroom and made it inaccessible to children. Cleared at time of visit.
8
9
10
11
12
13
14
LPA observed that the cubbies in the preschool bathroom had diaper creams and over the counter ointments that are accessible to children which poses a potential health, safety, or personal rights risk to persons 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: Natalie Dunaway
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3