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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 123007037
Report Date: 03/07/2022
Date Signed: 03/07/2022 04:21:17 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
01/26/2022 and conducted by Evaluator Kiriko Lynch
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20220126142742
FACILITY NAME:CHILDREN'S COTTAGE PRESCHOOL, THEFACILITY NUMBER:
123007037
ADMINISTRATOR:SANDERS, LEAHFACILITY TYPE:
850
ADDRESS:1807 HARRISON AVENUETELEPHONE:
(707) 445-8119
CITY:EUREKASTATE: CAZIP CODE:
95501
CAPACITY:30CENSUS: 20DATE:
03/07/2022
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Mercedes PorterTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Child's authorized representative denied access to pick up the child from the childcare

Child's authorized representative denied information about the child's care
INVESTIGATION FINDINGS:
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On 03/07/2022, at 3:00 PM, a closing complaint investigation visit was made to the facility by LPA Lynch. It has been alleged child's authorized representative denied access to pick up the child from the childcare, and child's authorized representative denied information about the child's care . LPA met with the Site Supervisor, conducted an interview, and discussed the allegation. Site Supervisor stated a child's father attempted to pick up child from facility without the child's mother's permission. Former Site Supervisor had provided paperwork to LPA from the child's mother at a previous visit. However, interviews and documentation revealed there was no authorized court order explicitly prohibiting child's father from drop off and/or pick up of his daughter at the time, or prohibiting him from receiving his child's facility records. 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 9099-D. Appeal rights were provided and exit interview conducted.
Substantiated
Estimated Days of Completion: 0
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Kiriko LynchTELEPHONE: (530) 895-5033
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2022
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 2
Control Number 13-CC-20220126142742
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: CHILDREN'S COTTAGE PRESCHOOL, THE
FACILITY NUMBER: 123007037
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/07/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/08/2022
Section Cited
CCR
101218.1
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Admission Procedures and Parental and Authorized Representative's Rights -
(b) At the time of acceptance of each child in care, the licensee shall inform each child's parent or authorized representative of his/her rights that include, but are not limited to, the following:
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Site supervisor stated that since the incident they have received an authorized restraining order from the court which LPA observed in the child's file. POC is cleared today at the time of visit.
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(6) To request in writing that a parent not be allowed to visit a child or take a child from the child care center provided the custodial parent has shown a certified copy of a court order pursuant to Health and Safety Code Section 1596.857. This was not met as evidenced by there is no authorized court order in place prohibiting parental access to child at facility.
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Site supervisor will review court order for stipulations regarding access/denial of child's records, and will review regulations at the staff meeting this week and email LPA meeting agenda/summary afterwards.
Type B
03/08/2022
Section Cited
CCR
101221
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Child's Records -
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(e) A child's records shall also be open to inspection by the child's authorized representative. This was not met as evidenced by the facility did not allow parental access to child's records.
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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: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Kiriko LynchTELEPHONE: (530) 895-5033
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2