283009460-2-12-2021-01-CC-LLEI-BYJ39G-20210223170303

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 283009460
Report Date: 01/21/2021
Date Signed: 02/12/2021 03:49:29 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

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

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/14/2020 and conducted by Evaluator Kevin O'Connell

COMPLAINT CONTROL NUMBER: 01-CC-20200214161411

FACILITY NAME:	BROWN, HEIDI & KEVIN FCCH		FACILITY NUMBER:	283009460
ADMINISTRATOR:	BROWN, HEIDI & KEVIN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(707) 815-6599
CITY:	AMERICAN CANYON	STATE: CA	ZIP CODE:	94503
CAPACITY:	14	CENSUS:	DATE:	01/21/2021
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Heidi & Kevin Brown, Licensees		TIME COMPLETED:	09:00 AM

ALLEGATION(S):

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Lack of care and supervision and neglect resulting in infant sustaining a skull fracture while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Kevin O’Connell, conducted a subsequent complaint investigation inspection on 1/21/2021 at 8:45am for the purpose to deliver the finding regarding the above allegation. LPA met with Licensees, Heidi & Kevin Brown (L), via a tele-inspection due to the COVID-19 pandemic. LPA previously met with Licensees, Heidi & Kevin Brown, on 2/24/2020 to discuss the purpose of the visit and the complaint allegation. This complaint was investigated by Investigation Branch (IB) Investigator, Nancy Saechao. It was alleged that an infant sustained a serious head injury while in care due to lack of care and supervision and neglect.

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: 01/20/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2021

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 01-CC-20200214161411

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: BROWN, HEIDI & KEVIN FCCH	FACILITY NUMBER: 283009460
	VISIT DATE: 01/21/2021

NARRATIVE

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During the investigation interviews were conducted with staff, children, subject’s parents, medical professionals, children services and law enforcement staff, former and current daycare parents, and other potential witnesses. Medical records and reports from law enforcement and children services agencies were reviewed. Medical records could not medically conclude where, when, or who could have injured C1. Licensees denied the allegation, claiming C1 was not injured at the daycare facility and was not left unsupervised at any time. Family members claim C1 was not injured at home. Former and current daycare parents interviewed did not identify any concerns regarding the facility or the level of care and supervision being provided.

Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, and the findings are unsubstantiated. There were no Title 22 deficiencies cited today. Appeal Rights will be provided. A “read receipt” will be requested for 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: 01/20/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2021

LIC9099 (FAS) - (06/04)

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