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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343622630
Report Date: 06/13/2022
Date Signed: 06/21/2022 02:55:57 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, 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
05/17/2022 and conducted by Evaluator Lea Habtom
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20220517094615
FACILITY NAME:TOTS OF LOVE - CITRUS HEIGHTSFACILITY NUMBER:
343622630
ADMINISTRATOR:WILLIAMS, COURTNEYFACILITY TYPE:
850
ADDRESS:7312 ANTELOPE ROADTELEPHONE:
(916) 689-8687
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95621
CAPACITY:59CENSUS: 10DATE:
06/13/2022
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Valyncia NimsTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff did not notice a child left the facility alone
INVESTIGATION FINDINGS:
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*THIS IS AN AMENDED REPORT*

On June 21, 2022 at 1:55 pm Licensing Program Analyst Lea Habtom met with designated staff Valyncia Nims to amend the complaint status from confidential to public. The census for today's visit was 17 napping children being supervised by 1 staff.

Staff did not notice a child left the facility alone

During the investigation, LPA Habtom toured the facility, conducted observation and interviewed those pertinent to the investigation. It was alleged that staff did not noticie a child left the facility alone. Interviews revealed that a child made it out of the preschool room and left the day care facility. The child was standing outside in the parking lot unsupervised. It is unknown how long the child was out there before he was brought in by a staff member. Based on the corroborating statements taken from witnesses the department has found that the allegation that a staff did not notice a child left the facility alone to be SUBSTANTIATED: meaning that the allegation is valid because the preponderance of the evidence standard has been met.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2022
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
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
05/17/2022 and conducted by Evaluator Lea Habtom
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20220517094615

FACILITY NAME:TOTS OF LOVE - CITRUS HEIGHTSFACILITY NUMBER:
343622630
ADMINISTRATOR:WILLIAMS, COURTNEYFACILITY TYPE:
850
ADDRESS:7312 ANTELOPE ROADTELEPHONE:
(916) 689-8687
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95621
CAPACITY:59CENSUS: DATE:
06/13/2022
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Dawnica GallegosTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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9
Staff did not report incidents to authorized representative
Daycare child sustained injuries while in care
Facility grounds in disrepair

INVESTIGATION FINDINGS:
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THIS IS AN AMENDED REPORT*

On June 21, 2022 at 1:55 pm Licensing Program Analyst Lea Habtom met with designated staff Valyncia Nims to amend the complaint status from confidential to public. The census for today's visit was 17 napping children being supervised by 1 staff.

Staff did not report incidents to authorized representative

During the investigation, LPA Habtom toured the facility, conducted observation and interviewed those pertinent to the investigation. It was alleged that staff did not report incidents to authorized representative. Interviews with the reporting parting and witnesses revealed conflicting information regarding notifying authorized representaitive of injuries while in care. An app, procare, is used to document injuries and communicate with authorized representatives. A few incidents were shown to LPA regarding injuries. Although the allegation staff did not report incidents to authorized representative may or may have not happened, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore, the allegations are UNSUBSTANTIATED.

REPORT CONTINUED ON 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 03-CC-20220517094615
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: TOTS OF LOVE - CITRUS HEIGHTS
FACILITY NUMBER: 343622630
VISIT DATE: 06/13/2022
NARRATIVE
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Day care child sustained injuries while in care.

During the investigation, LPA Habtom toured the facility, conducted observation and interviewed those pertinent to the investigation. It was alleged that day care child sustained injures while in care. Interviews with the reporting party and staff revealed conflicting information. Staff stated children get injured naturally while playing outside and can be unavoidable at times. Due to the lack of corroborating information, LPA has determined that allegation that day care child sustained injuries while in care to be UNSUBSTANTIATED meaning that the incidents may or may have not happened, there is not a preponderance of evidence to prove that the alleged violations occurred.

Facility grounds in disrepair.

During the investigation, LPA Habtom toured the facility, conducted observation and interviewed those pertinent to the investigation. It was alleged that the facility is in disrepair. Their is a play ground structure and a cement area where bikes are utilized. The back play area has a dried dirt section which staff state children are kept away from. The play yard children have access to can use some maintanance work but does not seem to be hazardous. Interviews indicated that yard work is in the process of being down to the back play area. The allegation that the facility grounds is in disrepair LPA has determined to be UNSUBSTANTIATED meaning that the incidents may or may have not happened, there is not a preponderance of evidence to prove that the alleged violations occurred.

SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 03-CC-20220517094615
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: TOTS OF LOVE - CITRUS HEIGHTS
FACILITY NUMBER: 343622630
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/13/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/15/2022
Section Cited
CCR
101229(a)(1)
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101229(a)(1) Responbility for Providing Care: The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified
in Sections 101216.2(e)(1) and 101230(c)
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Donnika states that the little kids were moved from the middle room where there was a gate getting into the room to the back room where there is a door to open to avoid children from getting out.
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(1). Supervision shall include visual observation. This requirement was not met as evidenced by: A preschool child made his way out of the facility and was found in the parking lot unsupervised. This causes an immediate health & safety risk to children 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: Keven Peters
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 4