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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393610932
Report Date: 11/22/2024
Date Signed: 11/22/2024 01:16:39 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. 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
09/25/2024 and conducted by Evaluator Elvira Sierra
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20240925161617
FACILITY NAME:CAPC - CENTRAL 1FACILITY NUMBER:
393610932
ADMINISTRATOR:SYHACHACK, MOMEFACILITY TYPE:
850
ADDRESS:540 NORTH CALIFORNIA STREETTELEPHONE:
(209) 644-5323
CITY:STOCKTONSTATE: CAZIP CODE:
95202
CAPACITY:64CENSUS: 26DATE:
11/22/2024
UNANNOUNCEDTIME BEGAN:
12:35 PM
MET WITH:Elizabeth MedinaTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Ratio-Licensee is operating over ratio.
Personal Rights-Staff does not provide adequate supervision to day care children resulting in injury.
INVESTIGATION FINDINGS:
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On 11/22/24, Licensing Program Analyst (LPA) Elvira Sierra conducted an unannounced complaint inspection to deliver findings for the above allegations and met with Center Manager, elizabeth Medina. During today’s inspection there were 26 preschool age children present being supervised by four staff members.
It was alleged that the facility is operating over ratio and staff does not provide adequate supervision to day care children resulting in injury. LPA conducted interviews with parents, staff, obtained pertaining information and observed the care and supervision of children. During the investigation, LPA conducted unannounced inspections to the facility, LPA observed adequate children/staff rations during inspection visits. Interviews revealed that occasionally facility has been short staff, but parents get call to not bring their children if they don’t have enough staff for the number of students. LPA conducted parent interviews and none of the parents disclosed observing the facility out of ratio or disclosed having any concerns regarding supervision. Interviews revealed that parents are always informed of any incidents occurred at the facility.
Report continues on subsuquent page 809C--
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2024
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 53-CC-20240925161617
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: CAPC - CENTRAL 1
FACILITY NUMBER: 393610932
VISIT DATE: 11/22/2024
NARRATIVE
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Based on the information obtained during interviews; 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 Title 22 Deficiencies cited, and Notice of Site Visit posted.

An Exit Interview was conducted in which the report was reviewed and discussed with facility representative, Elizabeth Medina.

SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2