343620359-10-27-2021-53-CC-JSMH-C8FNUH-20211104104619

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343620359
Report Date: 10/27/2021
Date Signed: 10/27/2021 10:58:42 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
08/02/2021 and conducted by Evaluator Jeevun Birk

PUBLIC

COMPLAINT CONTROL NUMBER: 53-CC-20210802134052

FACILITY NAME:	WEBB, JOELLA		FACILITY NUMBER:	343620359
ADMINISTRATOR:	WEBB, JOELLA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(916) 470-5367
CITY:	ELK GROVE	STATE: CA	ZIP CODE:	95758
CAPACITY:	14	CENSUS:	DATE:	10/27/2021
		UNANNOUNCED	TIME BEGAN:	10:20 AM
MET WITH:	Joella Webb		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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Care and Supervision - Provider not providing adequate supervision

INVESTIGATION FINDINGS:

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On 10/25/2021 at 10:20 AM Licensing Program Analyst (LPA) Jeevun Birk-Miller conducted an unannounced complaint investigation and met with Licensee, Joella Webb.The purpose was to discuss the above complaint allegation. It was alleged that the Licensee is not providing adequate supervision and will leave children in the car when going into the store. During the course of the investigation LPA conducted interviews with the Licensee, children, and parents. During an interview when asked about field trips or outings the Licensee stated they take trips to the store and the kids go in with her. Four out of five children interviewed stated they would stay in the car while the Licensee went into the store or restaurant.

Based on the information gathered during the investigation the Department found the licensee did not provide adequate supervision, therefore, the allegation was substantiated. The following Type A deficiency was cited on the 809-D page of this report. A civil penalty was assessed for the amount of $500. Upon receipt, 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... Contiue to 9099-C page.

Substantiated

Estimated Days of Completion: 90

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Jeevun Birk	TELEPHONE: (916) 917-6078
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2021

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 53-CC-20210802134052

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: WEBB, JOELLA	FACILITY NUMBER: 343620359
	VISIT DATE: 10/27/2021

NARRATIVE

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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. Appeal Rights were provided. An exit inteview was conducted. A Notice of Site Visit was given and posted. This is to remain posted for 30 days.

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Jeevun Birk	TELEPHONE: (916) 917-6078
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2021

LIC9099 (FAS) - (06/04)

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Control Number 53-CC-20210802134052

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: WEBB, JOELLA	FACILITY NUMBER: 343620359
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/27/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 10/28/2021 Section Cited CCR 102417(a)	1 2 3 4 5 6 7	Operation of a Family Child Care Home - 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 from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence.	1 2 3 4 5 6 7	Licensee agrees to submit a written statement on how she will ensure supervision will be provided at all times and what she will do when transporting children. Licensee will submit this Licensing by 10/28/2021.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by: Based on interviews the Licensee did not ensure that there was adequate supervision when children were unsupervised in the car. This poses an immediate health and safety risk to children in care.	8 9 10 11 12 13 14	Civil Penalty was assessed for the amount of $500 for a citation given on 10/28/2021.
	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: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Jeevun Birk	TELEPHONE: (916) 917-6078
LICENSING EVALUATOR SIGNATURE:	DATE: 10/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2021

LIC9099 (FAS) - (06/04)

Page: 4 of 4

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
08/02/2021 and conducted by Evaluator Jeevun Birk

PUBLIC

COMPLAINT CONTROL NUMBER: 53-CC-20210802134052

FACILITY NAME:	WEBB, JOELLA		FACILITY NUMBER:	343620359
ADMINISTRATOR:	WEBB, JOELLA		FACILITY TYPE:	810
ADDRESS:	8308 RED FOX WAY		TELEPHONE:	(916) 470-5367
CITY:	ELK GROVE	STATE: CA	ZIP CODE:	95758
CAPACITY:	14	CENSUS:	DATE:	10/27/2021
		UNANNOUNCED	TIME BEGAN:	10:20 AM
MET WITH:	Joella Webb		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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Personal Rights - Provider handled day care child in a rough manner
Personal Rights - Provider forced day care children to nap

INVESTIGATION FINDINGS:

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On 10/25/2021 at 10:20 AM Licensing Program Analyst (LPA) Jeevun Birk-Miller conducted an unannounced complaint investigation and met with Licensee, Joella Webb. The purpose was to discuss the above complaint allegations. During the investigation LPA conducted interviews with the Licensee, children, and parents. It was alleged during a walk the Licensee had shoved Child #1 (C1) forward to walk faster and in another incident that the Licensee had pulled C1's arm when leaving the facility. LPA was unable to obtain information to support the allegation and children interviewed did not indicate anyone being handled in a rough manner. It was alleged that the Licensee forced Child #2 to nap and had placed the blanket over the child's head. The Licensee stated that children are not forced to nap and if they don't want a blanket, they can remove it. If children want to do other things during quiet time they can, but they don't usually. Statements taken by children provided conflicting information as to if children are forced to nap. Parents interviewed did not indicated any concerns. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation did or did not occur, therefore the finding is unsubstantiated. An exit interview was conducted. A Notice of Site Visit was given and posted. This shall be posted for 30 days. Appeal rights were printed and provided.

Unsubstantiated

Estimated Days of Completion: 90

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Jeevun Birk	TELEPHONE: (916) 917-6078
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2021

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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