123007037-8-11-2022-13-CC-EVIA-CHCVEW-20220816162259

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 123007037
Report Date: 07/25/2022
Date Signed: 08/11/2022 12:36:29 PM

Unsubstantiated

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
05/20/2022 and conducted by Evaluator Kiriko Lynch

PUBLIC

COMPLAINT CONTROL NUMBER: 13-CC-20220520085409

FACILITY NAME:	CHILDREN'S COTTAGE PRESCHOOL, THE		FACILITY NUMBER:	123007037
ADMINISTRATOR:	MCCUTCHEN, ROSE		FACILITY TYPE:	850
ADDRESS:	1807 HARRISON AVENUE		TELEPHONE:	(707) 445-8119
CITY:	EUREKA	STATE: CA	ZIP CODE:	95501
CAPACITY:	30	CENSUS: 15	DATE:	07/25/2022
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Mercedes Porter		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff not providing adequate supervision.

Facility operating out of ratio.

INVESTIGATION FINDINGS:

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On 07/25/2022, at 9:30 AM, a closing complaint investigation visit was made to the facility by Licensing Program Analyst (LPA) Lynch. It has been alleged staff is not providing adequate supervision, specifically that on 5/17/22 two children (C1, C2) got out of the back gate and into the alley. LPA met with the Site Supervisor, conducted an interview, and discussed the allegation. Site Supervisor stated a child (C3) opened a back gate and ran outside of the facility to meet a teacher while another teacher was supervising them (S1, S2). Three staff were interviewed and one staff witness stated (S2) two children left through the gate and wasn’t sure if it was C1 or C2 who left, but stated the other child who left was C3. LPA found staff interviews had conflicting information regarding the children who were able to open the gate and leave, and which back gate had been opened by the children. Three parents (P1-P3) were interviewed and there were no disclosures of children leaving the facility, however, there was a disclosure of the shorter gate observed as left open. LPA observed both back gates during the visits and observed the shorter gate has a latch on it that can be reached by children at the facility and received prior photo evidence. It was also alleged the facility is operating out of ratio. The Site Supervisor, and Licensee/Owner both denied the allegation, and stated they maintain staffing ratios at the facility. Site Supervisor stated she is always in ratio as a teacher along with the other staff at the center when she is there, and on the day and incident in question, there were two addtional staff present besides her. Three staff (S1-S3), and three parents (P1-P3) were interviewed, and there were generally no disclosures. During the complaint inspection visits, LPA also observed the facility was within staffing ratios per Title 22 regulations. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, and the findings are unsubstantiated. An exit interview was conducted, appeal rights provided, and notice of site visit posted.

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Kiriko Lynch	TELEPHONE: (530) 895-5033
LICENSING EVALUATOR SIGNATURE:	DATE: 07/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2022

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-20220520085409

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: 07/25/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B CCR	1 2 3 4 5 6 7	page deleted	1 2 3 4 5 6 7
	8 9 10 11 12 13 14		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: Kiriko Lynch	TELEPHONE: (530) 895-5033
LICENSING EVALUATOR SIGNATURE:	DATE: 07/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2022

LIC9099 (FAS) - (06/04)

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