173008469-2-25-2021-01-CC-LLEI-BYLSFU-20210226125053

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 173008469
Report Date: 02/25/2021
Date Signed: 02/25/2021 09:51:15 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA

This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/20/2020 and conducted by Evaluator Kevin O'Connell

COMPLAINT CONTROL NUMBER: 01-CC-20201120160212

FACILITY NAME:	NOBLE, KEELY FCCH		FACILITY NUMBER:	173008469
ADMINISTRATOR:	NOBLE, KEELY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(707) 349-4438
CITY:	UPPER LAKE	STATE: CA	ZIP CODE:	95485
CAPACITY:	14	CENSUS: 8	DATE:	02/25/2021
		ANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Keely Noble, Licensee		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Daycare child consumed cannabis/marijuana while in care.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA), Kevin O’Connell, conducted a subsequent complaint investigation inspection on 2/25/2021 at 9:30am for the purpose to deliver the finding regarding the above allegation. LPA met with Licensee, Keely Noble (L), via a tele-inspection due to the COVID-19 pandemic. LPA, Nicolette Cunningham, previously met with Licensee, Keely Noble, on 11/24/2020 to discuss the purpose of the visit and complaint allegation. This complaint was investigated by Investigation Branch (IB) Investigator, Nancy Saechao. It was alleged that a child consumed cannabis/marijuana while in care.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Leslie Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Kevin O'Connell	TELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2021

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 2

Control Number 01-CC-20201120160212

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA

FACILITY NAME: NOBLE, KEELY FCCH	FACILITY NUMBER: 173008469
	VISIT DATE: 02/25/2021

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

During the course of the investigation, interviews were conducted with the Licensee, children, parents, medical professionals, law enforcement, children services agency, and poison control agency. Medical records and reports from law enforcement and children services agencies were reviewed. Site inspections were conducted and observations made.

Medical records indicate a likely accidental ingestion of marijuana but could not clearly pinpoint exactly when C1 ingested marijuana and the marijuana test cannot determine if it was ingested, inhaled, or entered through different way. Sources are unable to determine if C1 ingested it while at the daycare or home.

The Licensee denied the allegation stating that marijuana is not used or kept on the facility premises. Parents denied using and keeping marijuana in their home. Daycare children and parent interviews did not identify any other concerns regarding the facility.

The investigation did not produce any conclusive 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 incident occurred. Therefore, the allegation is determined unsubstantiated. No Title 22 deficiencies were cited today. The licensee was provided a copy of their appeal rights (LIC 9058) and a “read receipt” will be requested to acknowledge the receipt of this report.

SUPERVISOR'S NAME: Leslie Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Kevin O'Connell	TELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 2