185405669-7-14-2022-13-CC-MAVS-CGGUQH-20220719154708

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 185405669
Report Date: 07/14/2022
Date Signed: 07/14/2022 09:52:34 AM

Substantiated

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
04/14/2022 and conducted by Evaluator Carrie Wisehart

PUBLIC

COMPLAINT CONTROL NUMBER: 13-CC-20220414095343

FACILITY NAME:	JUST KIDDING AROUND		FACILITY NUMBER:	185405669
ADMINISTRATOR:	FURTADO, LORI		FACILITY TYPE:	850
ADDRESS:	655 ASH STREET		TELEPHONE:	(530) 257-0303
CITY:	SUSANVILLE	STATE: CA	ZIP CODE:	96130
CAPACITY:	29	CENSUS: 0	DATE:	07/14/2022
		UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Georgina Johnson, Site Supevisor		TIME COMPLETED:	09:40 AM

ALLEGATION(S):

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Lack of supervision (absence) resulted in inappropriate touching between children

INVESTIGATION FINDINGS:

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On 7/14/22 at 9:20 am, Licensing Program Analyst (LPA) Carrie Wisehart conducted a subsequent complaint investigation inspection to the facility for the purpose of delivering complaint findings.
It was alleged that lack of supervision (absence) resulted in inappropriate touching between children. This allegation was investigated and completed by Christen Krogstad, Special Investigator for the Department of Social Services, Investigations Bureau.

Special Investigator, Krogstad conducted interviews with S1 on 4/22/22 who acknowledged she frequently leaves the classroom for 30 to 60 seconds and she places a child in charge during her absences. Interviews were conducted with C1 on 4/22/22 and C2 on 5/18/22 and both confirmed the incident occurred and that no teachers were present. Therefore, the Special Investigator has determined through interviews that S1 momentarily left the classroom leaving the children unattended and during this time C1 admitted to inappropriately touching C2.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Carrie Wisehart	TELEPHONE: (530) 895-5824
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2022

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 13-CC-20220414095343

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: JUST KIDDING AROUND	FACILITY NUMBER: 185405669
	VISIT DATE: 07/14/2022

NARRATIVE

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Based on the evidence obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated.

Notice of Site Visit shall be posted for 30 days from today's visit.

The following violation(s) of the California Code of Regulations, Title 22; Division 12, were observed: see LIC 809D. Appeal Rights were provided. Reports citing Type A violations are to be provided to parents/guardians of children currently in enrolled and to parents/guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must sign Form LIC9224 to be kept in each child's file. A civil penalty was issued for $500 for absence of supervision.

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Carrie Wisehart	TELEPHONE: (530) 895-5824
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 13-CC-20220414095343

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: JUST KIDDING AROUND	FACILITY NUMBER: 185405669
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/14/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 07/25/2022 Section Cited HSC 1596.99(c)(3)	1 2 3 4 5 6 7	Absence of Supervision 1596.99(c)(3) The department shall assess an immediate civil penalty of five hundred dollars ($500) per violation and one hundred dollars ($100) for each day the violation continues after citation, for any of the following serious violations: Absence of supervision, including, but not limited to, a child left unattended, and supervision of a child by a person under 18 years of age.	1 2 3 4 5 6 7	Licensee agrees to have staff watch the Care and Supervision Child Care Video and then send to CCL the signatures of attendees, topic’s covered and date of attendance. The licensee will also provide a plan to ensure children will not be left unsupervised and the plan will include staff schedules, including break coverage so that staff have coverage when leaving a classroom. The signed training documents and staff schedule will be submitted to CCL by 7/25/22.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by: Based on interviews and record review S1 left classroom children unattended resulting in C1 inappropriately touching C2. This poses an immediate health, safety or personal rights risk to persons in care. A $500 civil penalty applies.	8 9 10 11 12 13 14	** Note Site is closed for 10 days due to COVID so LPA provided an extended POC date.
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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: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Carrie Wisehart	TELEPHONE: (530) 895-5824
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2022

LIC9099 (FAS) - (06/04)

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