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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 085400863
Report Date: 12/11/2019
Date Signed: 12/11/2019 02:02:31 PM



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
10/23/2019 and conducted by Evaluator Kiriko Lynch
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20191023133037
FACILITY NAME:BESS MAXWELL STATE PRESCHOOLFACILITY NUMBER:
085400863
ADMINISTRATOR:MAXWELL, BESSFACILITY TYPE:
850
ADDRESS:1124 EL DORADO STREETTELEPHONE:
(707) 464-0310
CITY:CRESCENT CITYSTATE: CAZIP CODE:
95531
CAPACITY:24CENSUS: 10DATE:
12/11/2019
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Grace HavensTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
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9
Facility is not doing a daily inspection for illness of the daycare children.
INVESTIGATION FINDINGS:
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12
13
LPA Lynch conducted an unannounced closing complaint visit, and met with Acting Lead Teacher. It was alleged that facility is not doing a daily inspection for illness of the daycare children. The Site Supervisor and staff were interviewed on 10/28/19, and Site Supervisor stated facility conducts daily inspections for illness of the daycare children and denied the allegation. Parents/guardians were interviewed on 12/10/19, and children on 10/28/19, and there were no disclosures corroborating the allegation. During the investigation, LPA observed the care and supervision provided to children by staff. LPA also reviewed records related to the nature of the allegation, including the facility employee handbook, facility parent handbook and admission agreement, and the facility roster. LPA found although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, and the findings are unsubstantiated. An exit interview was conducted, and appeal rights were provided. The Notice of Site Visit must be posted for 30 days.
Unsubstantiated
Estimated Days of Completion: 15
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Kiriko LynchTELEPHONE: (530) 895-5033
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2019
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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