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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343624830
Report Date: 05/21/2024
Date Signed: 05/21/2024 03:31:34 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: 14DATE:
05/21/2024
UNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Danielle LawTIME COMPLETED:
03:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Teachers not Qualified
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 to deliver findings of the above allegations. LPA toured the facility, including all activity and classroom spaces, restrooms, and outdoor play areas. Director was reminded never to exceed the conditions, limitations, and capacity specified on the license.

It was alleged that teachers not qualified and hazards accessible to children at this infant facility. Throughout the course of investigation, LPA conducted observations, reviewed records, documentation, and interviewed staff. On 03/20/24 LPA visit, it was determined by observation, record review, and interviews that 2 out of 3 staff were aides and 1 fully qualified infant teacher. LPA observed both aides were left inside the facility with 7 awake infants and engaged in activities, and the fully qualified infant teacher was in the playground with 4 infants and did not have visual observation on the aides. LPA interviews and documentation revealed that hazards accessible to children when disinfecting wipes are left on the table where the infants eat, and are stored where it is accessible to children. Based on LPA observations, interviews, documentation, and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are SUBSTANTIATED.

Title 22 deficiencies are cited on LIC 9099-D. Exit interview was conducted and report was reviewed with Director, Danielle Law. Appeal rights were provided. Notice of site visit was given and must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2024
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 2
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: 05/21/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/04/2024
Section Cited
CCR
101416.2(f)
1
2
3
4
5
6
7
101416.2 Infant Care Teacher Qualifications and Duties
(f) Teachers shall visually observe aides whenever aides are working with infants, except as provided for in Section 101416.5(d)(1). This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Director stated Fully Qualified Infant teacher shall visually observe aides and Director stated she will make a teacher qualifications chart for the staff to review. Director will provide the chart to LPA by email no later than 4:30PM POC due date.
8
9
10
11
12
13
14
On 03/20/24 LPA visit, it was determined by observation, record review, and interviews that 2 out of 3 staff were aides and 1 fully qualified infant teacher. LPA observed both aides were left inside the facility with 7 awake infants and engaged in activities, and the fully qualified infant teacher was in the playground with 4 infants and did not have visual observation on the aides.
8
9
10
11
12
13
14
Type B
06/04/2024
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 stated that disinfectants and hazards were moved and stored in the staff bathroom, inaccessible to children. Cleared at time of visit.
8
9
10
11
12
13
14
 LPA interviews and documentation revealed that hazards accessible to children when disinfecting wipes are left on the table where the infants eat, and are stored where it is accessible to children.
8
9
10
11
12
13
14
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: 05/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2