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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 123007587
Report Date: 12/06/2019
Date Signed: 12/06/2019 11:22:22 AM



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
10/04/2019 and conducted by Evaluator Kiriko Lynch
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20191004170450
FACILITY NAME:MORRIS STATE PRESCHOOLFACILITY NUMBER:
123007587
ADMINISTRATOR:SANDERS, TRISHAFACILITY TYPE:
850
ADDRESS:2395 MCKINLEYVILLE AVE.ROOM 1TELEPHONE:
(707) 839-0617
CITY:MCKINLEYVILLESTATE: CAZIP CODE:
95519
CAPACITY:24CENSUS: 16DATE:
12/06/2019
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Kathleen ZinselmeirTIME COMPLETED:
11:45 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not provide adequate care and supervision to day care children.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
LPA Lynch conducted an unannounced closing complaint visit, and met with Site Supervisor. It was alleged that staff did not provide adequate care and supervision to day care children. The Site Supervisor and staff were interviewed on 10/14/19, and stated they always provide adequate care and supervision to children and denied the allegation. Parents/guardians were interviewed on 12/02/19, and children on 10/14/19, and there were no disclosures corroborating the allegation. LPA also collected and reviewed records related to the nature of the allegation, including the facility plan of operation, a sample of facility written injury reports, and the facility roster. LPA observed adequate care and supervision during today's visit, and present today were three main staff, including one substitute aide, and also two additional vendor staff to supervise and provide one-on-one care for a child. During both visits to the facility, LPA also observed ratio and capacity requirements were met per regulations. 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: 0
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Kiriko LynchTELEPHONE: (530) 895-5033
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2019
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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