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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 173002889
Report Date: 11/15/2023
Date Signed: 11/15/2023 09:44:28 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/11/2023 and conducted by Evaluator Sebastian Phouthavong
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20230811160600
FACILITY NAME:YUBA COMMUNITY COLLEGE,LAKE CAMPUS CDCFACILITY NUMBER:
173002889
ADMINISTRATOR:BLAKE, CHERYLFACILITY TYPE:
850
ADDRESS:15880 DAM ROAD EXTENSIONTELEPHONE:
(707) 995-7909
CITY:CLEARLAKESTATE: CAZIP CODE:
95422
CAPACITY:30CENSUS: 8DATE:
11/15/2023
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Cheryl BlakeTIME COMPLETED:
09:50 AM
ALLEGATION(S):
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Staff used inappropriate discipline practices with day care children
INVESTIGATION FINDINGS:
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A subsequent complaint investigation visit was conducted today by Licensing Program Analyst (LPA), Sebastian Phouthavong who met with Director, Cheryl Blake for the purpose of delivering complaint investigation findings for the above allegations. LPA previously conducted an inspection on 08/15/2023 to initiate the investigation and met with Staff, Heidi Schmitz to discuss the allegation, conduct interviews, make observations, and request documents. It is alleged that staff used inappropriate discipline practices with day care children, specifically that a staff member did not allow the children lunch as a means of discipline.

During the course of the investigation, LPA conducted interviews with the Director (D1), 5 staff (S1-S5), 2 adults (A1-A2), three children (C4-C7), and attempted other children interviews, from 08/15/2023 to 11/15/2023. Interviews from Staff (S1 – S5) & A1 stated on 08/08/2023, an incident occurred at the facility including two children (C1-C2) misbehaving during the lunch period which impacted their lunchtime meal. According to S2’s statement, C1 & C2 were removed during lunch for the safety of the children and sat on cots till they calmed down which is what S2 normally would do with misbehaved children,
(Continues on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Sebastian PhouthavongTELEPHONE: 707-588-5056
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2023
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 01-CC-20230811160600
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: YUBA COMMUNITY COLLEGE,LAKE CAMPUS CDC
FACILITY NUMBER: 173002889
VISIT DATE: 11/15/2023
NARRATIVE
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(Continues form LIC9099)
as well as redirecting the situation. S2 further stated that C1 & C2 rejoined the rest of the children and were provided a meal roughly 20 minutes later than the normal lunch time. S1 and S3 stated that C1 & C2 did sit on cots to calm down during the usual lunchtime period but were provided a meal after the lunch period was over.

Additionally, A1 claimed S2 was heard informing C1 that “If you don’t listen to what I am saying, no lunch” but was advised that C1 was provided the meal after the lunch period was over. Additionally, S5 stated C1 appeared upset and was given food 2 hours later. Children interviews that were conducted did not reveal any concerns involving the allegation. It could not be confirmed if/when the children were provided with a lunch meal or if the intent was to withhold food as a discipline practice.

Based on the information gathered during this investigation, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegations occurred and therefore are determined to be unsubstantiated. There were no Title 22 deficiencies cited. This report was reviewed and discussed with the facility’s Director, Cheryl Blake Appeal rights were provided. Notice of Site Visit shall be posted for 30 days from today's visit.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Sebastian PhouthavongTELEPHONE: 707-588-5056
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2023
LIC9099 (FAS) - (06/04)
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