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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343624830
Report Date: 11/13/2024
Date Signed: 11/13/2024 03:15:15 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
08/19/2024 and conducted by Evaluator Erwina Pascual-Golamco
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20240819103843
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: 0DATE:
11/13/2024
ANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Mercy IshidaTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Unqualified staff is providing care and supervision to daycare children
INVESTIGATION FINDINGS:
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Licensing Program Analyst Erwina Pascual-Golamco (LPA) and Licensing Program Manager Natalie Dunaway (LPM), met with Licensee Mercy Ishida, to deliver findings of the above allegations.

It was alleged that unqualified staff is providing care and supervision to daycare children. Throughout the course of the investigation, LPA interviews, observations, and record reviews revealed that staff present at the infant facility are not qualified or have the appropriate documentation in the file to meet Title 22 requirements. Staff were not qualified for the positions for which they were hired. It was also determined that the current director is not qualified. LPA observations, interviews, witness statements, and documentation corroborated the allegation that unqualified staff is providing care and supervision to daycare children. The preponderance of evidence standard has been met, and the allegation is SUBSTANTIATED.

continued on LIC9099-C...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024
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-20240819103843
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: 11/13/2024
NARRATIVE
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A Tittle 22 deficiency was cited today. This report was reviewed with Licensee, and an exit interview was conducted. Appeal Rights was provided to Licensee.
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 03-CC-20240819103843
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: 11/13/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/15/2024
Section Cited
CCR
101216.1(b)
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01216.1 Teacher Qualifications and Duties
(b) Prior to employment, a teacher shall meet the requirements of (b)(1) or (b)(2) below:...
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Licensee stated she will submit a plan to LPA by email 4PM POC due date regarding staffing and teacher qualifications.
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This requirement is not met as evidenced by: based on interviews, observations, and record reviews, Licensee (L) did not comply with the section cited above as staff present at the infant facility are aids and did not have direct supervision of a teacher, which poses a potential 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: Natalie Dunaway
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
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
08/19/2024 and conducted by Evaluator Erwina Pascual-Golamco
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20240819103843

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: 0DATE:
11/13/2024
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Mercy IshidaTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff made inappropriate comments towards a daycare child
INVESTIGATION FINDINGS:
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Licensing Program Analyst Erwina Pascual-Golamco (LPA) and Licensing Program Manager Natalie Dunaway (LPM), met with Licensee Mercy Ishida, to deliver findings of the above allegation.
It was alleged that staff made inappropriate comments towards a daycare child. Throughout the course of the investigation, LPA toured the facility, observed staff provide care to children and conducted interviews.
Staff interviews revealed that staff would say "nice hands, use our listening ears," when talking or redirecting children, and they have not heard or witnessed staff say inappropriate comments toward a daycare child. Parent interviews revealed that staff keep parents updated, are attentive, and friendly from past interviews.

LPA Interviews, and observations failed to corroborate the allegation that staff made inappropriate comments towards a daycare child. 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.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 4