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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343624917
Report Date: 07/03/2025
Date Signed: 07/03/2025 10:17:22 AM

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
06/04/2025 and conducted by Evaluator Josiah Gathing
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20250604091504
FACILITY NAME:MISSION AVENUE PRESCHOOLFACILITY NUMBER:
343624917
ADMINISTRATOR:NICOLE MORAN-ESTRADAFACILITY TYPE:
850
ADDRESS:2433 MISSION AVENUETELEPHONE:
(916) 487-4647
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:44CENSUS: 25DATE:
07/03/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Nicole Moran-EstradaTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Facility staff hit child in care
INVESTIGATION FINDINGS:
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On Thursday, July 3, 2025, at approximately 9:30 AM Licensing Program Analyst (LPA) Josiah Gathing met with Director Nicole Moran-Estrada, for the purpose of a complaint investigation and to deliver findings. It was alleged that facility staff hit child in care. Throughout the course of the investigation, LPA conducted interviews, reviewed documents, and made observations.
Staff provided video evidence to LPA showing a preschool child being flicked twice in the mouth area by a teacher. Staff stated that the teacher was terminated from employment at Mission Avenue Preschool the following day.
Therefore, based on observation and record review, the preponderance of evidence standard has been met, and the allegations are substantiated.


Cont. On LIC 9099-C...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Josiah Gathing
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2025
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 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
06/04/2025 and conducted by Evaluator Josiah Gathing
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20250604091504

FACILITY NAME:MISSION AVENUE PRESCHOOLFACILITY NUMBER:
343624917
ADMINISTRATOR:NICOLE MORAN-ESTRADAFACILITY TYPE:
850
ADDRESS:2433 MISSION AVENUETELEPHONE:
(916) 487-4647
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:44CENSUS: 25DATE:
07/03/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Nicole Moran-EstradaTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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9
Facility staff are not preventing children from engaging in inappropriate behaviors towards other children
INVESTIGATION FINDINGS:
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On Thursday, July 3, 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 a facility staff are not preventing children from engaging in inappropriate behaviors towards other children.
Throughout the course of the investigation, LPA conducted interviews, reviewed records, and made observations. Throughout the investigation, LPA observed full supervision of all children in care. Staff stated in interview that children are redirected to correct inapprporiate behaviors. Parent perceptions of facility staff preventing children from engaging in inappropriate behavior differed. Children stated in interview that teachers always saw what the children were doing. Child interview also revealed that children who are not being nice are asked by teachers to sit down and take a break.
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 and appeal rights were printed and provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Josiah Gathing
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2025
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
Control Number 03-CC-20250604091504
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: 07/03/2025
NARRATIVE
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Title 22 deficiencies are cited on the subsequent pages of this report. Director acknowledges, that FOR TYPE A DEFICIENCIES ONLY upon receipt, Director shall post LIC 9099D with Type A deficiencies for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. LIC 9224 must be signed by parents/guardians and kept with the children's forms as a receipt whenever any Type A documents are provided by the licensee. LIC 9224 and Appeal Rights were provided. Director's signature on this report acknowledges receipt of these rights. This report was reviewed with the Director. An exit interview was conducted. A Notice of Site Visit was provided and shall remain posted for a period of 30 days.
Upon receipt, Director shall post and provide copies of this licensing report to parents/ guardians of children who are currently enrolled as well as parents/ guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must acknowledge receipt of this report and citation by signing a LIC9224, “ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS”. A copy of this form should be placed in each child file upon receipt from parent.
An exit interview was conducted and a notice of site visit provided. Notice of site visit shall remain posted for 30 days. Appeal rights were provided to the Director.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Josiah Gathing
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 03-CC-20250604091504
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/03/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/04/2025
Section Cited
CCR
101223(a)(3)
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101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain...
The above requirement was not met as evidenced by:
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Staff member was terminated from employment prior to inspection and citation is cleared.
Staff will conduct Personal Rights training and provide LPA with training itinerary.
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Based on interviews and record review the facility did not comply with the above regulation as staff flicked a child which poses 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: Seychelle De Luca
LICENSING EVALUATOR NAME: Josiah Gathing
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4