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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343623422
Report Date: 08/18/2025
Date Signed: 08/18/2025 11:48:20 AM

Unsubstantiated


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
06/20/2025 and conducted by Evaluator Jennifer Velasco
COMPLAINT CONTROL NUMBER: 03-CC-20250620152539
FACILITY NAME:BUILDING KIDZ OF RANCHO CORDOVAFACILITY NUMBER:
343623422
ADMINISTRATOR:BERRY, CHATELLFACILITY TYPE:
850
ADDRESS:1941 ZINFANDEL DRIVETELEPHONE:
(916) 706-2653
CITY:RANCHO CORDOVASTATE: CAZIP CODE:
95670
CAPACITY:45CENSUS: 12DATE:
08/18/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Mercy Ishida TIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Staff do not provide adequate food service
Staff are operating out of ratio
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jennifer Velasco met with Facility Representative, Mercy Ishida (Representative), to conduct an unannounced subsequent complaint investigation inspection pertaining to the above allegations. The purpose of today's inspection was explained.

During the investigation, LPA conducted interviews, observed care, and requested relevant documentation. LPA observed staff provide care to children, reviewed facility documents, and interviewed children, staff, and clients. LPA observed the facility operate within ratio and observed staff serve meals and snacks that met requirements. Document reviews did not reveal instances of the facility operating out of ratio/over capacity and did not reveal instances of staff serving meals or snacks that failed to meet requirements. Multiple witness statements were consistent in stating that the facility operated within ratio requirements and that the facility served meals and snacks that met requirements.

Continued on LIC 9099C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Jennifer Velasco
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2025
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-20250620152539
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
VISIT DATE: 08/18/2025
NARRATIVE
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Continued from LIC 9099.

Observations, document reviews, and witness statements failed to corroborate the allegation that the facility operated out of ratio and failed to corroborate the allegation that staff did not provide adequate food service.

The preponderance of evidence standard has not been met; therefore, the allegations are unsubstantiated.
Exit interview was conducted and report was reviewed with Facility Representative, who was provided with Appeal Rights. Notice of site visit was provided and must remain posted for parental review for 30 days.
SUPERVISORS NAME: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Jennifer Velasco
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2