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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343624917
Report Date: 02/26/2025
Date Signed: 02/26/2025 03:00:25 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
12/10/2024 and conducted by Evaluator Josiah Gathing
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20241210152803
FACILITY NAME:MISSION AVENUE PRESCHOOLFACILITY NUMBER:
343624917
ADMINISTRATOR:CHRISTINA DIAZ BUSHMANFACILITY TYPE:
850
ADDRESS:2433 MISSION AVENUETELEPHONE:
(916) 487-4647
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:44CENSUS: 30DATE:
02/26/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Nicole Moran-EstradaTIME COMPLETED:
03:10 PM
ALLEGATION(S):
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Lack of supervision resulted in inappropriate behavior between children in care

Staff did not provide water for child to drink
INVESTIGATION FINDINGS:
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On Wednesday, February 26, 2025 at approximately 9:30 AM Licensing Program Analyst (LPA) Josiah Gathing met with Director Nicole Moran-Estrada for the purpose of an unannounced complaint investigation to deliver findings for the above allegations. It was alleged that lack of supervision resulted in inappropriate behavior between children in care and staff did not provide water for child to drink.
Throughout the course of the investigation, LPA conducted interviews, reviewed records, and made observations.
Staff stated in interview that the facility maintains full supervision of day care children by maintaining required teacher to child ratios and maintaining positions indoors and outdoors where teachers have a view of all children in care. Staff stated in interview that they are not aware of any instances of children engaging in inappropriate behaviors while unsupervised. Staff stated in interview that parents have expressed concerns about children engaging in inappropriate behaviors while unsupervised, but these behaviors were not observed when classroom video recordings were reviewed.
Cont. on LIC 9099-C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Josiah Gathing
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2025
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 2
Control Number 03-CC-20241210152803
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: MISSION AVENUE PRESCHOOL
FACILITY NUMBER: 343624917
VISIT DATE: 02/26/2025
NARRATIVE
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Staff also stated in interview that children would be noticed and intercepted if they attempted to avoid staff observation. Staff stated in interview that water jugs are brought to all classrooms in the morning and all children either bring their own water bottles or are provided cups.
Children stated in interview that the teachers always see what the children are doing in the school. Children stated in interview that they bring their own water bottles to the facility and they always have enough water.
LPA observed full supervision of all children in care throughout the course of the investigation. LPA observed that children had water bottles available throughout the investigation.
Based on interview and observation, the alleged violations were found to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.
No deficiencies were cited during today's inspection. A copy of this report was printed and provided to the Director. Appeal rights were also provided.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Josiah Gathing
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2