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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343624040
Report Date: 12/12/2025
Date Signed: 12/12/2025 11:27:57 AM

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
10/23/2025 and conducted by Evaluator Amanda Sutter
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20251023150956
FACILITY NAME:SACRAMENTO WALDORF SCHOOL EARLY CHILDHOODFACILITY NUMBER:
343624040
ADMINISTRATOR:PALACIOS, KLAUSFACILITY TYPE:
850
ADDRESS:3750 BANNISTER RDTELEPHONE:
(916) 961-3900
CITY:FAIR OAKSSTATE: CAZIP CODE:
95628
CAPACITY:15CENSUS: 6DATE:
12/12/2025
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Melissa RainsfordTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff allow children in areas not approved by licensing
INVESTIGATION FINDINGS:
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On Friday, December 12, 2025, Licensing Program Analysts (LPAs) Amanda Sutter and Mandie Goodwin met with Operations Manager (OM) Melissa Rainsford to deliver findings regarding the above allegations. Upon arrival, LPAs observed 1 staff and 2 parent volunteers supervising 6 children.

It was alleged that staff allow children in areas not approved by licensing. LPA Sutter conducted an inspection at the facility on 9/10/2025 to approve the use of the playground near the preschool yard. Previously, the children had been using the Kindergarten playground. During the investigation LPA learned that the facility had been using the playground near the preschool the since the beginning of the school year. School began the week of September 2, 2025. Therefore, the preponderance of evidence standard has been met, and the above allegations are SUBSTANTIATED.

One type B citation has been issued. OM has been provided with appeal rights. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Operations Manager Melissa Rainsford.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Amanda Sutter
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2025
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-20251023150956
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: SACRAMENTO WALDORF SCHOOL EARLY CHILDHOOD
FACILITY NUMBER: 343624040
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/12/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/19/2025
Section Cited
CCR
101212(c)
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101212 Reporting Requirements (c) The licensee shall notify the Department in writing of his/her intent prior to making any structural changes that reduce the total amount of indoor or outdoor activity space.
This regulation was not met as evidenced by:
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LPA conducted a Case Management inspection on 9/10/2025 to approve the use of the playground near the preschool class.
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Based on interview, LPA learned that the facility used an outdoor playground before it was approved, 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: Seychelle De Luca
LICENSING EVALUATOR NAME: Amanda Sutter
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
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
10/23/2025 and conducted by Evaluator Amanda Sutter
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20251023150956

FACILITY NAME:SACRAMENTO WALDORF SCHOOL EARLY CHILDHOODFACILITY NUMBER:
343624040
ADMINISTRATOR:PALACIOS, KLAUSFACILITY TYPE:
850
ADDRESS:3750 BANNISTER RDTELEPHONE:
(916) 961-3900
CITY:FAIR OAKSSTATE: CAZIP CODE:
95628
CAPACITY:15CENSUS: 6DATE:
12/12/2025
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Melissa RainsfordTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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9
Staff do not follow universal health precautions
Staff do not properly supervise children
INVESTIGATION FINDINGS:
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On Friday, Debember 12, 2025, Licensing Program Analysts (LPAs) Amanda Sutter and Mandie Goodwin met with Operations Manager (OM) Melissa Rainsford to deliver findings regarding the above allegations. Upon arrival, LPAs observed 6 children supervised by 1 staff and 2 parent volunteers.

During the course of the investigation, LPA conducted interviews and made observations at the facility. LPA observed appropriate supervision in the classroom. LPA did not observe any health precaution concerns. Additionally, interviews did not reveal any concerns.

Although the allegations may be true or may have happened, there is not a preponderance of evidence to prove the allegations; therefore, the allegations are unsubstantiated. Exit interview was conducted and report was reviewed with Operations Manager, Melissa Rainsford. Appeal rights were provided. Notice of site visit was given and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Amanda Sutter
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3