Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343615847
Report Date: 01/06/2016
Date Signed 01/06/2016 11:36:50 AM


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
12/01/2015 and conducted by Evaluator Katrina Owens
COMPLAINT CONTROL NUMBER: 03-CC-20151201092051
FACILITY NAME:PRESTIGE PRESCHOOL ACADEMYFACILITY NUMBER:
343615847
ADMINISTRATOR:JOYCELYN WARD-RICHARDSONFACILITY TYPE:
840
ADDRESS:8160 SHELDON ROADTELEPHONE:
(916) 684-4222
CITY:ELK GROVESTATE: ZIP CODE:
95758
CAPACITY:28CENSUS: 4DATE:
01/06/2016
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Krista Whitehead - Assistant DirectorTIME COMPLETED:
12:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
PERSONAL RIGHTS: Child not accorded dignity in relationship with staff
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
An unannounced visit was conducted today by Licensing Program Analysts Owens and Randa. LPA's met with Assistant Director Krista Whitehead. The purpose of the visit is to close a complaint investigation that was opened on 12/10/15. A census of children was taken at time of visit.

Based upon the interviews conducted, there was not a preponderance of evidence to support the allegation or incident occurred therefore, this complainant is INCONCLUSIVE.

An exit interview was conducted. Appeal rights were given and explained to the licensee. A Notice of Site Visit was posted during this inspection.
Inconclusive
Estimated Days of Completion:
SUPERVISOR'S NAME: Jennifer BrekkeTELEPHONE: (916) 263-5717
LICENSING EVALUATOR NAME: Katrina OwensTELEPHONE: 916-263-6280
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2016
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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