293616192-12-30-2019-03-CC-KPES-BKCVAM-20191230151609

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 293616192
Report Date: 12/30/2019
Date Signed: 12/30/2019 10:19:55 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/07/2019 and conducted by Evaluator Blake Morillas

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20191007102556

FACILITY NAME:	SIERRA COLLEGE CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	293616192
ADMINISTRATOR:	BEST, MORGAN		FACILITY TYPE:	850
ADDRESS:	250 SIERRA COLLEGE DRIVE		TELEPHONE:	(530) 274-5350
CITY:	GRASS VALLEY	STATE: CA	ZIP CODE:	95945
CAPACITY:	60	CENSUS: 0	DATE:	12/30/2019
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Katie Foss - Site Supervisor		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Staff caused injury to daycare child while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Blake Morillas made an unannounced visit to the facility. The purpose of the inspection is to conclude the complaint investigation of the above allegation and deliver findings. LPA met with the Site Supervisor, Katie Foss, and informed her of the reason for the visit. The facility is currently closed for Winter Break.
The complaint alleged that staff caused injury to a daycare child while in care. It was alleged that during nap time, a teacher moved a nap mat while a child was on it, causing injury to the child in the process. While it was agreed upon that the mat was moved with the child on it, conflicting information received could not determine if the injury to the child was caused by such action. Based upon interviews conducted with relevant parties in regards to the complaint and observations while at the facility, there is not a preponderance of evidence to prove or disprove the allegation did or did not occur, therefore the above allegation is found to be UNSUBSTANTIATED.
The report was reviewed with the Licensee and an exit interview was conducted.
Notice of site visit to be posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Blake Morillas	TELEPHONE: (916) 208-3734
LICENSING EVALUATOR SIGNATURE:	DATE: 12/30/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2019

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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