173002889-8-15-2023-01-CC-LLEI-CUS2CN-20230816171657

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 173002889
Report Date: 08/15/2023
Date Signed: 08/15/2023 09:26:21 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
04/14/2023 and conducted by Evaluator Sebastian Phouthavong

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20230414080231

FACILITY NAME:	YUBA COMMUNITY COLLEGE,LAKE CAMPUS CDC		FACILITY NUMBER:	173002889
ADMINISTRATOR:	BLAKE, CHERYL		FACILITY TYPE:	850
ADDRESS:	15880 DAM ROAD EXTENSION		TELEPHONE:	(707) 995-7909
CITY:	CLEARLAKE	STATE: CA	ZIP CODE:	95422
CAPACITY:	30	CENSUS: 7	DATE:	08/15/2023
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Heidi Schmitz		TIME COMPLETED:	09:30 AM

ALLEGATION(S):

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Daycare child sustained an unexplained injury while in care
Staff did not provide daycare child’s authorized representative with an incident report
Staff member hit daycare children
Staff mocked daycare child

INVESTIGATION FINDINGS:

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A subsequent complaint investigation visit was conducted today by Licensing Program Analyst (LPA), Sebastian Phouthavong who met with Staff, Heidi Schmitz for the purpose of delivering complaint investigation findings for the above allegation(s). LPA, previously met with Director on 04/24/2023 to initiate the investigation by discussing the allegation, conducting interview(s), making observations, and requesting documents. It is alleged that daycare child sustained an unexplained injury while in care, specifically in February, a child sustained an injury to their face; staff did not provide daycare child’s authorized representative with an incident report; staff member hit daycare children, specifically children were hit on their heads; and lastly, staff mocked daycare child.

During the course of the investigation, LPA conducted interviews with the Director (D1), four staff members (S1-S4), ten parents (P1-P10), two Adults (A1-A2) & 3 children (C2-C4) from 04/24/2023 – 07/31/2023. According to D1’s statement, staff would do a wellness check on daycare children in the morning when they arrived at the center and would have noted any injuries on the alleged date in which a written report would have been created if it had occurred.
(Continue on LIC9099)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Leslie Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Sebastian Phouthavong	TELEPHONE: 707-588-5056
LICENSING EVALUATOR SIGNATURE:	DATE: 08/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2023

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-20230414080231

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: 08/15/2023

NARRATIVE

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(Continue from LIC9099)
It could not be confirmed if the injury happened at the facility. Statements from D1, S1-S2 & S4 stated that if a child did get injured at the facility, the parents of the child would get notified as soon as it occurred and D1 & S2 also stated a written report would be submitted to the parents and Community Care Licensing. Interviews from all staff stated they do not hit children. D1, S1-S2 did state that staff do play “Duck, Duck, Goose” with the children and would “tap” the children’s heads, but they do not hit children. S2-S4 further stated that staff do not inappropriately mock daycare children or see others doing so. S2 stated if a child was misbehaving, she would often speak to them outside the facility and let them express their emotions by shouting and join them in the activity to support them which could appear to others as mocking but S2 stated she does not mock children.

According to other interviews, A1 claimed there was a time when they saw a staff use two fingers to hit a child as a way for discipline and at another time and that they have seen a staff yell at the children for misbehaving. A2 stated that if any injuries occur, the parents would be notified and a written report created, which did corroborate D1 & S2 statements.

Parents Interviews from P1, P5-P10 indicated that they were notified of incidents involving their child having a minor bruise; with P6-P10 stating a written report was provided to them whereas three interviews from P2-P4 indicated that they have seen minor bruises on their child, with P4 observing an injury to their child’s neck, but they were not notified of an incident by the facility. P1, P5-P10 did not have any concerns with the facility at this time and children interviews did not result in any information to corroborate the allegation.

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 Staff, Heidi Schmitz. Appeal rights were provided. Notice of Site Visit shall be posted for 30 days from today's visit.

SUPERVISOR'S NAME: Leslie Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Sebastian Phouthavong	TELEPHONE: 707-588-5056
LICENSING EVALUATOR SIGNATURE:	DATE: 08/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2023

LIC9099 (FAS) - (06/04)

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