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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 053604859
Report Date: 03/03/2020
Date Signed: 03/03/2020 01:31:39 PM



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
01/23/2020 and conducted by Evaluator Justin L Denton
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20200123111152
FACILITY NAME:RESOURCE CONNECTION OF AMADOR&CALAVERAS,SAN ANDREAFACILITY NUMBER:
053604859
ADMINISTRATOR:FORD, ALEXISFACILITY TYPE:
830
ADDRESS:501 GOLD STRIKE RD.TELEPHONE:
(209) 754-9640
CITY:SAN ANDREASSTATE: CAZIP CODE:
95249
CAPACITY:22CENSUS: 12DATE:
03/03/2020
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Alexis FordTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Day care child sustained unexplained bruising while in care

Cleaning supplies were accessible to day care children while in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Justin Denton conducted an unannounced inspection at the facility and met with Site Supervisor Alexis Ford. The purpose of the visit is to deliver findings for the above complaint investigation.

It was alleged that a day care child sustained unexplained bruising while in care and that cleaning supplies for were accessible to children. During the course of the investigation, LPA interviewed three staff, a parent, reviewed facility documents, and toured classroom spaces. Statements obtained during interviews and LPA's own observations of the facility failed to corroborate the allegations.

Based on the information obtained, there was not a preponderance of evidence to prove that the allegations occurred, therefore the allegations are unsubstantiated. No Title 22 deficiencies cited, an exit interview was conducted, and a notice of site visit was posted.
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISOR'S NAME: Jeanne SmithTELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Justin L DentonTELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2020
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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