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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 125407145
Report Date: 02/18/2021
Date Signed: 02/18/2021 03:40:50 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
08/11/2020 and conducted by Evaluator Kiriko Lynch
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20200811114717
FACILITY NAME:CALDWELL, JENNIFER FAMILY CHILD CARE HOMEFACILITY NUMBER:
125407145
ADMINISTRATOR:CALDWELL, JENNIFERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 382-8410
CITY:ARCATASTATE: CAZIP CODE:
95521
CAPACITY:14CENSUS: 0DATE:
02/18/2021
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Jennifer CaldwellTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Licensee transported child without appropriate seal belt/car seat
INVESTIGATION FINDINGS:
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On 02/18/2021, Licensing Program Analyst (LPA) Kiriko Lynch conducted a closing complaint investigation, and met with the Licensee. The closing complaint investigation was conducted via tele-inspection due to the current state of emergency regarding the COVID-19 outbreak. It was alleged the Licensee transported child without appropriate seal belt/car seat.

The Licensee was interviewed on 08/19/20 and denied the allegation. Licensee stated she does not usually provide transportation, but when she does she asks the parent to provide and install their own car/booster seat in her van and afterwards she ensures it is secured and working properly. Licensee stated seat belts are always used for older children too big for car/booster seats. Three parents/guardians who had children previously enrolled at the time of the reported allegation were interviewed on 02/16/21, and there were no disclosures corroborating the allegation. Based on interviews and documentation related to the complaint, LPA did not find a preponderance of evidence to corroborate the allegation. 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 finding is unsubstantiated. An exit interview was conducted, and appeal rights were provided.
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: 02/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2021
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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