045407684-1-27-2022-13-CC-EVIA-CCUUPD-20220325154517

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 045407684
Report Date: 01/26/2022
Date Signed: 01/27/2022 09:08:39 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/20/2022 and conducted by Evaluator Nicolette Cunningham

PUBLIC

COMPLAINT CONTROL NUMBER: 13-CC-20220120083605

FACILITY NAME:	BROWN, KIMBERLY FAMILY CHILD CARE HOME		FACILITY NUMBER:	045407684
ADMINISTRATOR:	BROWN, KIMBERLY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(530) 774-3368
CITY:	CHICO	STATE: CA	ZIP CODE:	95928
CAPACITY:	14	CENSUS: 8	DATE:	01/26/2022
		UNANNOUNCED	TIME BEGAN:	10:05 AM
MET WITH:	Kimberly Brown, Licensee		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Children in care are not wearing masks

INVESTIGATION FINDINGS:

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On 1/26/22 at 10:05a.m., Licensing Program Analysts (LPA) N. Cunningham conducted an unannounced complaint inspection, and met with Licensee Brown. It was alleged that children are not wearing facial coverings.

The licensee was interviewed on 1/26/21 at 10:35 a.m., and stated that the facility’s policy regarding facial coverings is allow children to attend without a mask. The licensee also stated that they do not incorporate placing mask on or removing mask into the daily routine. The licensee stated that the facility does not have a policy regarding facial coverings in the parent handbook or enrollment packet.

LPA toured the home beginning at 10:20 a.m., LPA did not observe staff communicating with children regarding mask, or facial coverings easily accessible in the children’s cubby. There were a total of eight children observed and none of them were wearing facial coverings. The children not wearing facial coverings (C1 – C8) were playing in the playroom.

At 10:45 a.m., the licensee stated they have not received a medical exemptions for any children in care regarding facial coverings.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Nicolette Cunningham	TELEPHONE: (530) 521-5235
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2022

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 13-CC-20220120083605

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: BROWN, KIMBERLY FAMILY CHILD CARE HOME	FACILITY NUMBER: 045407684
	VISIT DATE: 01/26/2022

NARRATIVE

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Provider Information Notice (Pin) 21-29-CCP FACE COVERING REQUIREMENTS AND GUIDANCE FOR CHILD CARE PROVIDERS REGARDING CORONAVIRUS DISEASE 2019 (COVID-19) was discussed and a copy was provided during the inspection.

Based on the evidence obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, (Title 22), is being cited on the attached LIC 9099D. Appeal rights were provided and exit interview conducted. The Notice of Site Visit must be posted for 30 days.

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Nicolette Cunningham	TELEPHONE: (530) 521-5235
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2022

LIC9099 (FAS) - (06/04)

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Control Number 13-CC-20220120083605

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: BROWN, KIMBERLY FAMILY CHILD CARE HOME	FACILITY NUMBER: 045407684
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/26/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 01/27/2022 Section Cited CCR 102423(a)2	1 2 3 4 5 6 7	(a) 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: (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.	1 2 3 4 5 6 7	During the inspection, LPA observed children place a face covering on. The licensee stated she will have staff incorporate placing mask on/ taking mask off into the daily schedule. The licensee will also add the facility mask policy to the parent handbook and monthly newsletter.
	8 9 10 11 12 13 14	Based on observations/interviews, the licensee did not ensure the personal rights of children in care in that 7 of 7 children in care (C1 – C7) did not wear face coverings while in the facility, as required by the Order of the State Public Health Officer (June 11, 2021), and an individual face covering exception did not apply. This is a potential health and safety risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Nicolette Cunningham	TELEPHONE: (530) 521-5235
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2022

LIC9099 (FAS) - (06/04)

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