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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343618992
Report Date: 07/26/2021
Date Signed: 07/26/2021 04:39:33 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
05/03/2021 and conducted by Evaluator Joleen Kenney
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20210503160909
FACILITY NAME:THOMPSON, CLARISSAFACILITY NUMBER:
343618992
ADMINISTRATOR:THOMPSON, CLARISSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 317-5724
CITY:SACRAMENTOSTATE: CAZIP CODE:
95835
CAPACITY:14CENSUS: 5DATE:
07/26/2021
UNANNOUNCEDTIME BEGAN:
03:35 PM
MET WITH:Clarissa Thompson, LicenseeTIME COMPLETED:
04:50 PM
ALLEGATION(S):
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Licensee did not treat children with dignity.
Licensee enforces unusual punishments on children in care.
INVESTIGATION FINDINGS:
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On 7/26/2021 at 3:35 PM, Licensing Program Analyst, Joleen Kenney conducted a follow up complaint inspection and met with the Licensee, Clarissa Thompson. LPA Kenney informed the Licensee that it was alleged that the Licensee did not treat children with dignity when the Licensee took a photo of a child #1 (C1) sitting on the toilet. It was reported that the Licensee sent the picture to the parent to show that the child was not cooperating when being potty trained. The Licensee stated that the picture was strictly sent to the parent only to show the parent that C1 was standing on the toilet and not being safe. The Licensee sent the photo and informed the parent that the Licensee could not continue to potty train C1 while also providing supervision to the other children in care. Although it was alleged that the Licensee did not treat children with dignity when taking a photo of C1 on the toilet and sending the photo to the parent, there was no information obtained that the Licensee had any ill intent. Based on the information obtained, this allegation was determined to be unsubstantiated.

(report continued on next page LIC9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Joleen KenneyTELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 5
Control Number 03-CC-20210503160909
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: THOMPSON, CLARISSA
FACILITY NUMBER: 343618992
VISIT DATE: 07/26/2021
NARRATIVE
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It was also alleged that the Licensee enforces unusual punishments on children in care when the Licensee puts children on lengthy time outs. It was also reported the Licensee took away the chair from child #2 (C2) and made the child sit on the floor. Interviews were conducted with the Licensee, Assistants, and day-care children which did not identify any specific information to corroborate the allegation. The Licensee denied the allegation and stated that children are redirected multiple times and given explanation of why they shouldn't be conducting themselves that way before ever placing a child on time out. The Licensee stated that the amount of time for the time-out is based on the child's age and it is one minute per their age. The Licensee stated that there is no other punishment besides redirection and time-out used in her day-care. Based on the information obtained, this allegation was determined 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.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Joleen KenneyTELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
05/03/2021 and conducted by Evaluator Joleen Kenney
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20210503160909

FACILITY NAME:THOMPSON, CLARISSAFACILITY NUMBER:
343618992
ADMINISTRATOR:THOMPSON, CLARISSAFACILITY TYPE:
810
ADDRESS:5388 NICKMAN WAYTELEPHONE:
(916) 317-5724
CITY:SACRAMENTOSTATE: CAZIP CODE:
95835
CAPACITY:14CENSUS: 5DATE:
07/26/2021
UNANNOUNCEDTIME BEGAN:
03:35 PM
MET WITH:Clarissa Thompson, LicenseeTIME COMPLETED:
04:50 PM
ALLEGATION(S):
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Licensee yelled at children in care.
INVESTIGATION FINDINGS:
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On 7/26/2021 at 3:35 PM, Licensing Program Analyst, Joleen Kenney conducted a follow up complaint inspection and met with the Licensee, Clarissa Thompson. LPA Kenney informed the Licensee that it was alleged that the Licensee yelled at children in care. The Licensee stated that she has raised her voice to day-care children after they have not responded to being redirected. The Licensee stated that she would give a lot of redirection to children that are not behaving. The Licensee shared a video that she had recorded of child #2 (C2) to show his behavior. During the video C2 could be seen scooting around the tile entryway at the Licensee's home, touching the light switch, spitting from behind the face mask that C2 was wearing, and jumping on and over a small suitcase and bag that were placed on the floor at the entrance to the living room. LPA Kenney watched the video and heard the Licensee telling C2 to come out of the living room and then the Licensee was heard yelling in a loud voice directing C2 to not step foot back into the living room and to not jump on her granddaughters luggage and smash the shoe boxes. While watching the video

(continued on next page LIC9099C)
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Joleen KenneyTELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 03-CC-20210503160909
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: THOMPSON, CLARISSA
FACILITY NUMBER: 343618992
VISIT DATE: 07/26/2021
NARRATIVE
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LPA Kenney observed C2 stop immediately and flinch when the Licensee yelled. The Licensee stated before she got to the video C2 had already had several behaviors so she had put C2 in this space for safety because as soon as C2 was being redirected the child was out of control. LPA Kenney conducted additional interviews with the Assistants, Parents and day-care children which did identify that the Licensee had yelled at the day-care child.

Based on LPAs video observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 & Chapter 1, is being cited on the attached LIC 9099D.

Type A deficiency was cited on the following page of this report for violating a child's personal rights when the Licensee yelled at the child.

Upon receipt of a Type A citation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. The LIC 9224 must be signed by parents/guardians and kept as a receipt whenever any Type A documents are provided by the licensee. LIC 9224 is available on the website. If the LIC 9224 is not used, the licensee shall prepare a statement indicating the documents have been provided. Licensee shall require the parent/guardian to sign and date the statement and shall keep the signed statement as receipt. Verification of receipt shall be kept in each child's file at the facility.

Notice of Site Visit was provided and posted. Appeal Rights were provided and an exit interview was conducted.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Joleen KenneyTELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2021
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 03-CC-20210503160909
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: THOMPSON, CLARISSA
FACILITY NUMBER: 343618992
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/26/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/27/2021
Section Cited
CCR
102423(a)(4)
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Personal Rights. Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following:
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The Licensee agrees to obtain Personal Rights training by viewing the video available on the Community Care Licensing website and submitting a written paragraph on what they learned from the video. The Licensee will submit the plan of correction by the end of day on Tuesday, July 27, 2021.
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To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature,... This is not met as evidenced by: The Licensee yelled at C2 because the child was not listening to redirection from the Licensee for the child's behavior.
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The following link is for the Personal Rights video available for child care:

https://ccld.childcarevideos.org/family-child-care-providers/childrens-personal-rights-in-child-care/
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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: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Joleen KenneyTELEPHONE: (916) 799-9668
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 5