340300765-12-14-2020-03-CC-KPES-BWBMXE-20201215085950

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 340300765
Report Date: 12/14/2020
Date Signed: 12/14/2020 03:01:04 PM

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
09/11/2020 and conducted by Evaluator Karyn Guerra

COMPLAINT CONTROL NUMBER: 03-CC-20200911153236

FACILITY NAME:	WONDER LAND SCHOOL		FACILITY NUMBER:	340300765
ADMINISTRATOR:	PAULA MARTINEZ		FACILITY TYPE:	850
ADDRESS:	3300 WALNUT AVENUE		TELEPHONE:	(916) 481-1798
CITY:	CARMICHAEL	STATE: CA	ZIP CODE:	95608
CAPACITY:	55	CENSUS: 14	DATE:	12/14/2020
		UNANNOUNCED	TIME BEGAN:	02:20 PM
MET WITH:	Tara Williams		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff did not allow child's authorized representative to view child's file

Child's authorized representative was not provided a copy of the admissions agreement

INVESTIGATION FINDINGS:

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At 2:26 p.m. on Monday, December 14th, 2020, Licensing Program Analyst (LPA) Karyn Guerra met with Acting Director, Tara Williams, to conduct a complaint inspection regarding the above allegations. A tele-inspection was conducted due to COVID-19. Census consisted of 14 children supervised by 3 staff. It was alleged that staff did not allow child's authorized representative to view child's file and that child's authorized representative was not provided a copy of the admissions agreement. Throughout the course of the investigation, LPA conducted interviews and reviewed documents. Director stated that initial request for file documents was denied because the request was not made by child's authorized representative. After request was made by authorized representative, Director consulted with LPA regarding parental rights due to custodial arrangement. After also consulting with a legal team, documents and admissions agreement were provided to the authorized representative. The allegations are found to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore, the allegations are unsubstantiated. This report was reviewed with the Acting Director and will be delivered electronically via e-mail along with the Notice of Site Visit and Appeal Rights. Aknowledgement of receipt of report will be documented in lieu of signature.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 216-7796
LICENSING EVALUATOR NAME: Karyn Guerra	TELEPHONE: (916) 216-7790
LICENSING EVALUATOR SIGNATURE:	DATE: 12/14/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2020

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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