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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343624830
Report Date: 07/24/2024
Date Signed: 08/01/2024 03:46:48 PM

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
06/03/2024 and conducted by Evaluator Erwina Pascual-Golamco
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20240603090102
FACILITY NAME:BUILDING KIDZ RANCHO CORDOVAFACILITY NUMBER:
343624830
ADMINISTRATOR:LAW, DANIELLEFACILITY TYPE:
830
ADDRESS:1945 ZINFANDEL DRIVETELEPHONE:
(916) 706-2653
CITY:RANCHO CORDOVASTATE: CAZIP CODE:
95670
CAPACITY:15CENSUS: 7DATE:
07/24/2024
UNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Danielle LawTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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9
Staff did not provide adequate supervision to infants in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst Erwina Pascual-Golamco (LPA) met with Director, Danielle Law, to deliver findings. Throughout the course of the investigation, LPA toured the facility, observed staff provide care to children, reviewed documentation, and conducted interviews. Interviews revealed that staff attend to infants needs by checking on information written on their white boards and an App to keep them updated on infant's daily needs like diaper changes, feedings, naps, and bottles. Bottles are labeled and are stored in the facility refrigerator, and staff place them in a bin, out of infant's reach when feedings are done. LPA Interviews, observation, and facility documentation failed to corroborate the allegation that staff did not provide adequate supervision to infants in care. Although the alleged violation may have happened or are valid, the preponderance of evidence standard has not been met to fully prove or disprove that it did or did not occur, therefore, it is UNSUBSTANTIATED.

This report was reviewed with Director, and an exit interview was conducted. Appeal Rights were provided and a Notice of Site Visit (NOS) was provided to Director, who will post it for a period of 30 days for parental review.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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