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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343624830
Report Date: 03/20/2024
Date Signed: 03/20/2024 04:50:56 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
03/12/2024 and conducted by Evaluator Erwina Pascual-Golamco
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20240312154522
FACILITY NAME:BUILDING KIDZ RANCHO CORDOVAFACILITY NUMBER:
343624830
ADMINISTRATOR:ABEA, TANYAFACILITY TYPE:
830
ADDRESS:1945 ZINFANDEL DRIVETELEPHONE:
(916) 706-2653
CITY:RANCHO CORDOVASTATE: CAZIP CODE:
95670
CAPACITY:15CENSUS: 9DATE:
03/20/2024
UNANNOUNCEDTIME BEGAN:
07:55 AM
MET WITH:Danielle LawTIME COMPLETED:
10:55 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility operating out of ratio
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 is operating out of ratio. Throughout the course of investigation, LPA conducted observations, reviewed records, documentation, and interviewed staff. It was determined by observation, record review, and interviews that the facility is operating out of ratio. LPA arrived at facility at 7:55 AM and observed census of 7 infants and 2 staff; at 8:00 AM, 8th infant was in attendance, and at 8:12 AM, 9th infant was accepted. Staff messaged the other facility for help, but no one was available to step in until LPA observed Director walked in at the facility at 8:17 AM. Based on LPA observation, interviews, and record review, the preponderance of evidence standard has been met, therefore the above allegation is SUBSTANTIATED.

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 4
Control Number 03-CC-20240312154522
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 RANCHO CORDOVA
FACILITY NUMBER: 343624830
VISIT DATE: 03/20/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
The Director was informed that this report dated 03/20/24 documents one Type A citation . A Title 22 Deficiency is issued on the attached LIC9099-D page. Director 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 Director, appeal rights were provided, and A notice of site visit was given to Director, 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: 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
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 03-CC-20240312154522
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 RANCHO CORDOVA
FACILITY NUMBER: 343624830
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/21/2024
Section Cited
CCR
101416.5(b)
1
2
3
4
5
6
7
101416.5 Staff-Infant Ratio (b) There shall be a ratio of one teacher for every four infants in attendance. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Director stated they will follow Staff-Infant ratio and inform staff not accept another child until another staff is available to step in. Director will email LPA by 4PM POC due date the facility's written plan of action with staff signatures.
8
9
10
11
12
13
14
LPA arrived at facility at 7:55 AM and observed census of 7 infants and 2 staff; at 8:00 AM, 8th infant was in attendance, and at 8:12 AM, 9th infant was accepted. Staff messaged the other facility for help, but no one was available to step in until LPA observed Director walked in at the facility at 8:17 AM which poses an immediate 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: 4 of 4