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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343622630
Report Date: 06/13/2022
Date Signed: 06/13/2022 01:12:30 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
04/07/2022 and conducted by Evaluator Lea Habtom
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20220407101551
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 handled child in a rough manner
Licensee did not follow reporting requirements
INVESTIGATION FINDINGS:
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On June 13, 2022 Licensing Program Analyst Lea Habtom met with designated staff Valyncia Nims to deliver the findings for the above allegations. During today’s visit there was a census of 10 preschool children being supervised by 2 staff.

Staff handled child in a rough manner

During the investigation, LPA Habtom toured the facility, conducted observation and interviewed those pertinent to the investigation. It was alleged that a staff member handled a child in a rough manner. Interviews revealed that a child was giving a staff member a difficult time so the staff member tried to escort the child to the director’s office. As the staff member was doing this it resulted in the child being pushed into the director’s office. Based on the corroborating statements taken from witnesses the department has found that the allegation that a child was handled in a rough manner to be SUBSTANTIATED: meaning that the allegation is valid because the preponderance of the evidence standard has been met. REPORT CONTINUED ON 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2022
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 5
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
04/07/2022 and conducted by Evaluator Lea Habtom
COMPLAINT CONTROL NUMBER: 03-CC-20220407101551

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:TIME COMPLETED:
01:30 PM
ALLEGATION(S):
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9
Staff restrained child in a high chair
INVESTIGATION FINDINGS:
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Staff restrained child in a high chair

During the investigation, LPA Habtom toured the facility, conducted observation and interviewed those pertinent to the investigation. It was alleged that staff restrained a child in a high chair. Interviews revealed that high chairs in the infant/toddler room are used during feeding times. During cite visits, LPA observed that high chairs were being used during feeding times. Once the infant was done eating LPA observed staff removing the infant from the chair. Based on the investigation, LPA Habtom concluded that staff restrained child in a high chair to be UNSUBSTANTIATED meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove it.


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2022
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 5
Control Number 03-CC-20220407101551
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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Licensee did not follow reporting requirements.

During the investigation, LPA Habtom toured the facility, conducted observation and interviewed those pertinent to the investigation. It was alleged staff/licensee did not follow reporting requirements. Interviews indicated an unusual incident report was mailed to licensing regarding an incident with a child. Review of the childcare facility reveals that no phone call was made reporting the incident prior to submitting it on paper. Staff was asked for a copy of the unusual incident report which one could not be provided. Based on corroborating information the department has found the allegation that the licensee/staff did not follow reporting requirements to be SUBSTANTIATED: meaning that the allegation is valid because of the preponderance of the evidence standard has been met.

Upon receipt of this report, the Licensee shall post the Notice of Site Visit and any Licensing report documenting a type “A” deficiency. The report and the Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement of Receipt (LIC 9224 form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224) Form during this visit.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 03-CC-20220407101551
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
06/14/2022
Section Cited
CCR
101223(a)(3)
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Personal Rights 101223(a)(3): The licensee shall ensure that each child is accorded the following personal rights: To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse....

This requirement was not met as evidenced by:
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Mrs. Valyncia states that a staff meeting was held regarding the incident, training will be provided and walkie talkie were purchased in order to quickly ask for help.
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Witness interviews revealing an incident where a child was pushed into an office by a staff member. This posses an immediate danger to the health and safety of 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: 06/08/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 03-CC-20220407101551
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 B
06/15/2022
Section Cited
CCR
101212(d)(1)(C)
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Reporting requirements 101212(d)(1)(C): Upon the occurrence, during the operation of the child care center of any of the events specified in ...(d)(1) a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event.
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(1) Events reported shall include the following:
(C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child.

This requirment was not met as evidenced by: LPA did not receive a phone call or an incident report of the incident which causes a potential health & safety risk to children in care. A copy was unable to be provided to LPA.
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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: 06/08/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5