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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393620979
Report Date: 08/26/2021
Date Signed: 08/26/2021 11:01:53 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/28/2021 and conducted by Evaluator Chayntel Hunter
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20210528103935
FACILITY NAME:CAPC - BUILDING FUTURES ACADEMY 2FACILITY NUMBER:
393620979
ADMINISTRATOR:KIM BALLARDFACILITY TYPE:
850
ADDRESS:3100 MONTE DIABLOTELEPHONE:
(209) 464-4524
CITY:STOCKTONSTATE: CAZIP CODE:
95203
CAPACITY:24CENSUS: 13DATE:
08/26/2021
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Center Manager, Veronica KelleyTIME COMPLETED:
11:10 AM
ALLEGATION(S):
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Daycare child sustained injuries while in care.
Facility failed to notify the child's authorized representative of incidents.
Staff are not wearing masks.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Chayntel Hunter met with Center Manager, Veronica Kelley to deliver the findings of the complaint investigation regarding the above allegations. LPA observed 13 children supervised by 3 staff.

During the course of the investigation, LPA Hunter conducted interviews, and obtained information pertaining to allegations. It was alleged that a daycare child sustained injuries while in care, due to a lack of supervision. Interviews conducted and documents obtained revealed that although a child had been injured while in care, staff were aware of the incidnet and made an incidnet report. Staff also conduct a wellness check of children during drop offs. It was also alleged that the facility failed to notify child's authorized representative of the incidents. Staff explained that parents are told verbally about the incident and follow up with a written report for parents to sign.

Report continues on 9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Justin L Denton
LICENSING EVALUATOR NAME: Chayntel Hunter
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2021
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-20210528103935
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: CAPC - BUILDING FUTURES ACADEMY 2
FACILITY NUMBER: 393620979
VISIT DATE: 08/26/2021
NARRATIVE
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Interviews conducted revealed that parents are informed verbally but a written report may not always be readily available. LPA discussed supervision and reporting requirements with the Center Manager. It was also alleged that staff are not wearing masks at the facility. Interviews conducted revealed that parents and staff are required to wear masks inside the building, but may not always wear them outside. LPA reviewed CDC guidelines and Public Health protocols regarding masks.

Based on the information obtained throughout the course of this investigation the above allegations could not be substantiated or dismissed. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the finding is UNSUBSTANTIATED.

Exit interview was conducted. Appeal rights were printed and provided. Notice of Site Visit was provided and should remain posted for 30 days.
SUPERVISORS NAME: Justin L Denton
LICENSING EVALUATOR NAME: Chayntel Hunter
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2