214200040-1-26-2021-05-CC-GLEG-BY3TVE-20210209140350

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 214200040
Report Date: 01/26/2021
Date Signed: 01/26/2021 04:00:29 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/10/2020 and conducted by Evaluator Brendon Van

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20201210083238

FACILITY NAME:	CHIOVAROU, MAURA		FACILITY NUMBER:	214200040
ADMINISTRATOR:	CHIOVAROU, MAURA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(415) 378-6403
CITY:	CORTE MADERA	STATE: CA	ZIP CODE:	94925
CAPACITY:	14	CENSUS: 5	DATE:	01/26/2021
		ANNOUNCED	TIME BEGAN:	01:10 PM
MET WITH:	Maura Chiovarou		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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-Daycare child sustained multiple injuries while in care.

INVESTIGATION FINDINGS:

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Due to the COVID-19 health crisis and shelter in place order, a tele-inspection was conducted. Licensing Program Analyst (LPA) Van met with the Licensee, Maura Chiovarou, via Facetime Meeting for a subsequent complaint investigation. The purpose of the inspection was to deliver the findings for the complaint. There were five children in care and a helper today at the facility. The facility is operating within the capacity limits of the license.
LPA and Licensee inspected the home for health and safety hazards. As part of this complaint investigation, the Complainant and Licensee were interviewed. All relevant information was obtained and reviewed. Based on the Licensee's interview, the Licensee admitted that C1 left the toddler room during nap time, walked across the changing area, and went to the infant room. C1 then got on top of a children's bookshelf and climbed inside of C2's crib. Meanwhile, the Licensee and helper were in a different room, and both assumed that C1 was napping. As a result of the absence of supervision; C2 sustained multiple bites from C1, and only then when C2 was crying, the staff were aware of the incident.
Continued on the next page...

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2021

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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Control Number 05-CC-20201210083238

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: CHIOVAROU, MAURA	FACILITY NUMBER: 214200040
	VISIT DATE: 01/26/2021

NARRATIVE

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Following the incident, the Licensee had developed a new plan to prevent this incident from reoccurring. The Licensee had installed a baby-gate in the infant's room and a glass-door in the toddler room. The Licensee and helper are now positioned in the diaper changing area during naptime so that they can see and hear all of the children. In addition, cameras were installed in the rooms, and the Licensee had since hired another helper.
Based on the available information, the preponderance of evidence standard has been met. Therefore the above allegation(s) is found to be SUBSTANTIATED. A Type "A" violation was issued today. The facility is advised to provide a copy of the Evaluation Report, and the Type "A" Deficiency cited to the parents and guardians of children currently enrolled in care and parents of newly enrolled children during the next 12 months. A signed and dated LIC 9224 shall be maintained in all Children's files. This report will be kept in the facility file and made available for public review three years after the thirty-day posting requirement has been met.
An exit interview was conducted, and rights to comment were discussed with the Licensee. Also, COVID-19 Technical Assistant, Safe Sleep, and Reporting Requirement were reviewed with the Licensee. Due to the inspection done virtually, the copy of this report was emailed to the Licensee.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2021

LIC9099 (FAS) - (06/04)

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Control Number 05-CC-20201210083238

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: CHIOVAROU, MAURA	FACILITY NUMBER: 214200040
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/26/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 01/27/2021 Section Cited CCR 102417(a)	1 2 3 4 5 6 7	102417 Operation of a Family Child Care Home (a)The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent... during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.	1 2 3 4 5 6 7	Licensee took immediate action to correct this incident from reoccurring. The Licensee had installed a baby-gate in the infant's room and a glass-door in the toddler room. The Licensee and helper are now positioned in the diaper changing area during naptime to have both rooms' clear visual. In addition, cameras were installed in the rooms, and the Licensee had since hired another helper.
	8 9 10 11 12 13 14	This requirement is not met, as evidenced by interviews and reviewed of relevant information. The Licensee and helper failed to provide adequate supervision, which resulted in C2 sustained multiple bites from C1. This poses an immediate health and safety risk to children in care.	8 9 10 11 12 13 14	POC cleared on 1/26/2020
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2021

LIC9099 (FAS) - (06/04)

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