053613073-10-8-2019-53-CC-JSMH-BGTQGQ-20191010120953

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 053613073
Report Date: 08/01/2019
Date Signed: 10/08/2019 11:17:07 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
05/10/2019 and conducted by Evaluator Justin L Denton

PUBLIC

COMPLAINT CONTROL NUMBER: 53-CC-20190510113324

FACILITY NAME:	GARANT, MICHELLE		FACILITY NUMBER:	053613073
ADMINISTRATOR:	GARANT, MICHELLE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(209) 772-7267
CITY:	VALLEY SPRINGS	STATE: CA	ZIP CODE:	95252
CAPACITY:	14	CENSUS: 4	DATE:	08/01/2019
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Michelle Garant		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Personal Rights - Daycare child sustained serious injuries at the facility due to being bitten by Licensee's' dog.

INVESTIGATION FINDINGS:

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This report was amended on 10/8/2019.
Licensing Program Analyst (LPA) Justin Denton met with the Licensee, Michelle Garant, to deliver the finding for the above allegation. On 05/10/2019, the Department received an allegation that a day care child sustained serious injuries due to being bitten by the licensee's dog on 05/09/2019.

Investigator Darin Hieb from the Department's Investigation Branch conducted the investigation. Through interviews, it was revealed that an adult visiting the facility let the Licensee's dog out of the kennel where it was being contained. The Licensee's Assistants stated they were outside in the yard playing with the children when the dog appeared and bit Child 1 (C1). According to the Assistants, first aid was administered and C1's parents were called. Parents stated they took C1 to the hospital where C1 received medical treatment. The Licensee stated she was not home when her dog was released from their kennel and bit C1.

Substantiated

Estimated Days of Completion: 0

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Justin L Denton	TELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2019

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 53-CC-20190510113324

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: GARANT, MICHELLE	FACILITY NUMBER: 053613073
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/01/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 08/02/2019 Section Cited CCR 102423(a)(2)	1 2 3 4 5 6 7	Personal Rights - Each child receiving services from a family child care home shall have certain rights that shall not be waived...To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. On 05/10/2019	1 2 3 4 5 6 7	Licensee will develop a policy for animals in her care and their level of interaction with children. Licensee will instruct her staff and all adults in her home on the new policy and shall submit documentation of new policy to LPA by the due date.
	8 9 10 11 12 13 14	the Licensee's Assistants witnessed the Licensee's dog bite C1 who sustained serious injuries that required medical treatment. The dog was known to have bitten a person in the past and, therefore posed a threat to the day care children.	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: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Justin L Denton	TELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:	DATE: 08/01/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2019

LIC9099 (FAS) - (06/04)

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Control Number 53-CC-20190510113324

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: GARANT, MICHELLE	FACILITY NUMBER: 053613073
	VISIT DATE: 08/01/2019

NARRATIVE

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An Officer from Calaveras County Animal Control stated the Licensee's dog had bitten another individual in the past who also required medical attention. During the investigation, the Licensee corroborated the Animal Control Officer's statement and said due to the previous incident she did not trust her dog, which is why she kept her dog in a kennel. Due to the incident involving C1, the dog has been euthanized.

Based on the information obtained from interviews and the medical report, the preponderance of evidence standard has been met, therefore, the above allegation was SUBSTANTIATED. California Code of Regulations Title 22 is being cited on the attached LIC9099D.

This report was discussed with the Licensee and appeal rights were provided.

A Notice of Site Visit was posted.

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Justin L Denton	TELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2019

LIC9099 (FAS) - (06/04)

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