480104414-10-30-2024-01-CC-LLEI-DAM6JN-20241101205124

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 480104414
Report Date: 10/30/2024
Date Signed: 10/30/2024 03:11:03 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/05/2024 and conducted by Evaluator Melchisedeck Augustin

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20240805135108

FACILITY NAME:	VACAVILLE CHRISTIAN EARLY EDUCATION PRESCHOOL		FACILITY NUMBER:	480104414
ADMINISTRATOR:	STEPHANIE YAMATO		FACILITY TYPE:	850
ADDRESS:	1117 DAVIS STREET		TELEPHONE:	(707) 446-1776
CITY:	VACAVILLE	STATE: CA	ZIP CODE:	95687
CAPACITY:	170	CENSUS: 120	DATE:	10/30/2024
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Stephanie Yamato - Center Director		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Facility staff leave day care children unattended on the play area

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Melchisedeck Augustin made an unannounced subsequent Complaint Investigation visit and met with Center Director (CD), Stephanie Yamato, for the purpose of delivering finding for the above allegation. LPA previously met with CD on 08/09/24 to initiate the investigation by discussing the purpose of the visit, interviewed CD, staff and child, obtained facility records and facility roster of the children in care. It is alleged that facility staff left daycare children unattended on the play area, specifically that children (C1 & C2) were left alone on the play yard for an extended period until a parent found the children alone and notified staff of the incident.

LPA, Augustin interviewed CD and four staff (AD & S1-S3), one child (C2), one adult (A1), and two parents (P1-P2) starting from 08/09/24 through 09/23/24. Some children were not verbal, too young to interview, or did not qualify to be interviewed. CD said she was out of town and did not witness the incident, but she was notified of the matter, and confirmed C1 & C2 were left alone on an enclosed outdoor playground of building #2 for about four minutes; after staff had already transitioned the Young Preschool class indoor.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:	DATE: 10/30/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 01-CC-20240805135108

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: VACAVILLE CHRISTIAN EARLY EDUCATION PRESCHOOL	FACILITY NUMBER: 480104414
	VISIT DATE: 10/30/2024

NARRATIVE

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According to CD, on the day of the incident, S1-S3 were on shift, and while staff were already indoor, they were unaware of C1 & C2’s absence from the class, until P1 & P2 noticed the children alone on the playground and brought the matter to staff’s attention.

The statements provided by S1-S3 were consistent with the details provided by CD. S1-S3 explained that prior to the incident, S1 was on the playground supervising the classroom, while S2-S3 had already transitioned indoor, and were unaware of outdoor activities. S1 was in a rush and running late because it was time to transition into the extended care program, staff did not follow routine procedure to conduct head count and/or roll call to ensure the number of children matched the roll call sheet. This resulted in C1 & C2 being left alone on the play yard for five minutes. At the time of the incident, AD was not in the vicinity of building #2, and did not witness the incident but was notified and had knowledge of the incident. P1-P2’s statements further corroborated the allegation when they conveyed that upon their arrivals to the playground, they noticed the children were on the playground by themselves, which prompted them to notify staff of the matter.

During the course of the investigation, video footage of the incident was received which showed staff transitioning indoor, and C1 & C2 were left unattended on the playground for at least five minutes until a parent observed the children by themselves at the side of a large wooden shed inside the yard. LPA inspected the playground of building #2 which revealed that the yard was fully enclosed by chain link fence that was at least five feet in height and contained a gate that locked from the outside. Based on observations, the fence appeared to be well maintained and a child could not fit through any section(s) of the fence. It is noted that the gate led to a parking lot which the children could have egressed/eloped out of, however; C1 & C2 did not go near the gate. After the incident, the facility management held a meeting with the staff to provide and review information related to supervision requirements, and reminded staff of the protocol to communicate with each other, to conduct head count of the children as staff transitioned the children; and for the last staff on the playground to do a sweep of the playground to ensure children are not left in the yard. The facility did not comply with the requirements of supervision of California Code of Regulations (CCR) 101229 which indicated that no child(ren) shall be left without the supervision of a teacher at any time and that supervision shall include visual observation.

Based on this investigation, there is enough preponderance of evidence to show there was an absence of supervision of C1 & C2, therefore the allegation is found to be substantiated. (Continue to LIC 9099-C)

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:	DATE: 10/30/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2024

LIC9099 (FAS) - (06/04)

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Control Number 01-CC-20240805135108

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: VACAVILLE CHRISTIAN EARLY EDUCATION PRESCHOOL	FACILITY NUMBER: 480104414
	VISIT DATE: 10/30/2024

NARRATIVE

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As such, an immediate $500 civil penalty is being assessed for absence of supervision. Exit interview conducted and report was reviewed with the Center Director, Stephanie Yamato. The following violation of the California Code of Regulations, Title 22; Division 12 & Chapter 1, is being cited on the attached LIC 9099D. A Notice of Site Visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in a $100 civil penalty. Appeal Rights were provided.

LPA Melchisedeck Augustin informed facility representative, Stephanie Yamato that this report dated 10/30/24 document(s) one Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA Melchisedeck Augustin informed the facility representative to provide a copy of this licensing report dated 10/30/24 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:	DATE: 10/30/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2024

LIC9099 (FAS) - (06/04)

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Control Number 01-CC-20240805135108

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: VACAVILLE CHRISTIAN EARLY EDUCATION PRESCHOOL	FACILITY NUMBER: 480104414
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/30/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 10/31/2024 Section Cited HSC 1596.99(c)(3)	1 2 3 4 5 6 7	Absence of supervision, including, but not limited to, a child left unattended, and supervision of a child by a person under 18 years of age. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Director stated she would submit a written statement including agenda detailing her intent to provide additional training to staff on topics related to supervision by 10/31/24. Furthermore, Director intends to hold an all and individual staff meeting(s) within by 11/8/24 to discuss supervision, and Director shall submit evidence of all staff training including staff signatures on the attendance sheet.
	8 9 10 11 12 13 14	Based on statements provided by CD & staff and video footage which confirmed C1 & C2 were left alone on the playground for at least five minutes. This posed/poses an immediate health, safety and/or personal rights risk to the children in care.	8 9 10 11 12 13 14	meeting attendance sheet, to the department by 11/08/24. Email: melchisedeck.augustin@dss.ca.gov Fax: 707-588-5099
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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: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:	DATE: 10/30/2024

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2024

LIC9099 (FAS) - (06/04)

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