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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013416649
Report Date: 03/03/2022
Date Signed: 03/03/2022 12:40:53 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/27/2021 and conducted by Evaluator Lorraine Dacanay-Breaux
COMPLAINT CONTROL NUMBER: 52-CC-20210727113456
FACILITY NAME:SUTTON, PATRICIAFACILITY NUMBER:
013416649
ADMINISTRATOR:SUTTON, PATRICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 846-4116
CITY:PLEASANTONSTATE: CAZIP CODE:
94566
CAPACITY:14CENSUS: 8DATE:
03/03/2022
UNANNOUNCEDTIME BEGAN:
11:43 AM
MET WITH:Patricia SuttonTIME COMPLETED:
12:55 PM
ALLEGATION(S):
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Personal Rights - unexplained injuries while in care.
INVESTIGATION FINDINGS:
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March 3, 2022 at approximately 11:45 AM, Licensing Program Analyst, Lorraine Dacanay Breaux and Licensing Program Manager, Chandra Charles, met with Licensee Patricia Sutton, to deliver the findings from a Complaint Investigation conducted by Community Care Licensing Investigation Bureau, Investigator Megan Mullen. Present during the visit was Licensee assistant/son Benjamin Sutton, who has an active and clear fingerprint association with the family day care facility.

Based on the Investigator's observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation of Personal Rights is found to be SUBSTANTIATED. California Code of Regulations, 102423 (a) (4) (Title 22, Division 12 & Chapter 1), is being cited on the attached LIC 9099D."
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Lorraine Dacanay-BreauxTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022
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 3
Control Number 52-CC-20210727113456
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: SUTTON, PATRICIA
FACILITY NUMBER: 013416649
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/03/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/03/2022
Section Cited
CCR
102423(a)(4)
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Personal Rights-Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following:
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By 4/4/22 licensee will watch CCLD Videos "Supervising Children in Family Child Care & Children's Personal Rights in Child Care."
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To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning.
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Due to the nature of the complaint licensee is required to attend an Non Complance conference on 4/4/22 at the Oakland Regional Office.
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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.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Lorraine Dacanay-BreauxTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 52-CC-20210727113456
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: SUTTON, PATRICIA
FACILITY NUMBER: 013416649
VISIT DATE: 03/03/2022
NARRATIVE
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Due to the nature of the complaint allegation licensee Patricia Sutton will required to attend an Non Compliance conference on 4/4/22 at the Oakland Regional Office. Licensee will be mailed a letter (US Postal) confirming the date and time of this meeting.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Lorraine Dacanay-BreauxTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3