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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 125406397
Report Date: 04/14/2021
Date Signed: 04/16/2021 09:32:33 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
03/03/2020 and conducted by Evaluator Jaime Snow
COMPLAINT CONTROL NUMBER: 13-CC-20200303141302
FACILITY NAME:CHILDREN'S COTTAGE INFANT CENTERFACILITY NUMBER:
125406397
ADMINISTRATOR:MCCUTCHEN, ROSEFACILITY TYPE:
830
ADDRESS:900 HODGSON STREETTELEPHONE:
(707) 445-8119
CITY:EUREKASTATE: CAZIP CODE:
95501
CAPACITY:28CENSUS: 0DATE:
04/14/2021
ANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Rose MccutchenTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff not following needs and services plan in regards to feeding



INVESTIGATION FINDINGS:
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On 4/14/21 at 2 PM, Licensing Program Analyst (LPA) Snow conducted an unannounced complaint inspection and met with licensee/director Rose McCutchen. It was alleged that Staff do not updating and following needs and services plan in regard to feeding of infants. Licensee denied the allegation at 2:20PM on 3/12/21 stating that they have a lot of communication with families about feedings because children’s needs are changing during the first year; she said she keeps the needs and services plan updated and staff follows the parent’s instructions.


continued
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-5033
LICENSING EVALUATOR NAME: Jaime SnowTELEPHONE: (530)215-6132
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2021
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 5
Control Number 13-CC-20200303141302
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 INFANT CENTER
FACILITY NUMBER: 125406397
VISIT DATE: 04/14/2021
NARRATIVE
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The LPA interviewed 6 staff, 9 parents, 3 other witnesses (and no infants) for a total of 18 witnesses. 9 witnesses corroborated that the Needs and Services was not being followed in regard to feeding infants. The witnesses reported that food intended to be fed to infants was returned unopened, that they noticed the infant(s) were unusually hungry at pickup or that they were not getting a copy of the needs and services plan. The LPA reviewed four needs and services plans and found one to out of date; on 3/12/20 the LPA observed Child #3s Needs and Services Plan was last updated on 11/7/19 (they are required to be updated at least every 3 months).

Licensee provided copies of the roster, staff numbers and infant needs and services plans. LPA took photos at the facility on 3/12/20.

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 9099D. Appeal rights were provided and exit interview conducted. The Notice of Site Visit must be posted for 30 days.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-5033
LICENSING EVALUATOR NAME: Jaime SnowTELEPHONE: (530)215-6132
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 13-CC-20200303141302
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 INFANT CENTER
FACILITY NUMBER: 125406397
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/14/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/23/2021
Section Cited
CCR
101419.3(a)
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Modifications to Infant Needs and Services Plan. The written infant needs and services plan shall be updated at least quarterly, or as often as necessary to assure its accuracy.
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Send plan in writing outlining how you will ensure the infant needs and services plans will remain current & be followed.
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This requirement is not met as evidenced by the outdated needs and services plan and witness statements. Which posed a potential Health and Safety risk to children in care.
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Include the following requirement: 101419.2(c)The auth rep shall be provided with a copy of the needs and services plan and any subsequent updates. Due by 5pm on Friday, 4/23/20.
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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) 895-5033
LICENSING EVALUATOR NAME: Jaime SnowTELEPHONE: (530)215-6132
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
03/03/2020 and conducted by Evaluator Jaime Snow
COMPLAINT CONTROL NUMBER: 13-CC-20200303141302

FACILITY NAME:CHILDREN'S COTTAGE INFANT CENTERFACILITY NUMBER:
125406397
ADMINISTRATOR:MCCUTCHEN, ROSEFACILITY TYPE:
830
ADDRESS:900 HODGSON STREETTELEPHONE:
(707) 445-8119
CITY:EUREKASTATE: CAZIP CODE:
95501
CAPACITY:28CENSUS: 0DATE:
04/14/2021
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Rose MccutchenTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff do not give children the opportunity to nap/sleep
INVESTIGATION FINDINGS:
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On 4/14/21 at 2 PM, Licensing Program Analyst (LPA) Snow conducted an announced complaint inspection and met with licensee/director Rose McCutchen.
The allegation stated that children were not afforded the opportunity to sleep/nap at the facility; specifically, for the children under 12 months. The licensee denied the allegation and explained the nap procedure. She said infants are given the opportunity to nap; some have trouble falling asleep and they are given another opportunity. Some parents have special requests in regard to when or how long the infant should sleep however, she explained, that infants are never forced to sleep or stay awake.


continued
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-5033
LICENSING EVALUATOR NAME: Jaime SnowTELEPHONE: (530)215-6132
LICENSING EVALUATOR SIGNATURE:

DATE: 04/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 13-CC-20200303141302
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 INFANT CENTER
FACILITY NUMBER: 125406397
VISIT DATE: 04/14/2021
NARRATIVE
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The LPA interviewed 6 staff, 9 parents, 3 other witnesses (and no infants) for a total of 18 witnesses. Four witnesses said they suspected the child was not sleeping or not sleeping well at the facility due to infant behavior at pickup, no other information corroborates the allegation therefore the allegation is unsubstantiated. Licensee provided copies of the roster, staff numbers and infant needs and services plans. LPA took photos at the facility.

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. The Notice of Site Visit must be posted for 30 days.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-5033
LICENSING EVALUATOR NAME: Jaime SnowTELEPHONE: (530)215-6132
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2021
LIC9099 (FAS) - (06/04)
Page: 5 of 5