343621421-7-27-2022-03-CC-SDLA-CGRVKV-20220728163054

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343621421
Report Date: 07/27/2022
Date Signed: 07/27/2022 02:12:16 PM

Substantiated

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
07/26/2022 and conducted by Evaluator Karyn Guerra

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20220726121232

FACILITY NAME:	DYER, MARY		FACILITY NUMBER:	343621421
ADMINISTRATOR:	DYER, MARY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(916) 903-7674
CITY:	CITRUS HEIGHTS	STATE: CA	ZIP CODE:	95610
CAPACITY:	14	CENSUS: 12	DATE:	07/27/2022
		UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Mary Dyer		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Licensee hit child in care

INVESTIGATION FINDINGS:

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At 11:15 a.m., Licensing Program Analyst (LPA) Karyn Guerra met with Licensee, Mary Dyer, for the purpose of an unannounced complaint inspection. LPA observed a census of 12 children in care including 2 infants, 5 preschoolers, and 5 school age children. Licensee's Assistant, Elizabeth Dyer, was also present during inspection. It was alleged that Licensee hit child in care. There was a concern that a child was being struck by a wooden spoon. Throughout the course of the investigation, LPA conducted interviews. Licensee stated that time out is typically used for discipline, or children might get a special treat taken away. Licensee stated that they have used a wooden back scratcher to tap children. Licensee denied spanking children harshly. Assistant interviewed denied the allegation and stated that typical discipline practice is to take away a play time or have

report continued on 9099-C.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Karyn Guerra	TELEPHONE: (916) 216-7790
LICENSING EVALUATOR SIGNATURE:	DATE: 07/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2022

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 03-CC-20220726121232

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: DYER, MARY	FACILITY NUMBER: 343621421
	VISIT DATE: 07/27/2022

NARRATIVE

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children on time out for the amount of minutes per year in age. It was learned in interviews with children that Licensee has hit children in care, with 6 out of 8 children stating that Licensee has hit children in care. Most of the children mentioned a wooden spoon. Interviews with children also mentioned alternate forms of discipline including time out. The preponderance of evidence standard has been met, and the allegation is substantiated.

Title 22 deficiencies are cited on the subsequent pages of this report. Licensee acknowledges, that FOR TYPE A DEFICIENCIES ONLY upon receipt, licensee shall post LIC 809D with Type A deficiencies for 30 days 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. LIC 9224 must be signed by parents/guardians and kept with the children's forms as a receipt whenever any Type A documents are provided by the licensee. LIC 9224 and Appeal Rights were provided. Licensee's signature on this report acknowledges receipt of these rights. This report was reviewed with the Licensee. An exit interview was conducted. A Notice of Site Visit was provided and shall remain posted for a period of 30 days for parental review.

SUPERVISOR'S NAME: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Karyn Guerra	TELEPHONE: (916) 216-7790
LICENSING EVALUATOR SIGNATURE:	DATE: 07/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 03-CC-20220726121232

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: DYER, MARY	FACILITY NUMBER: 343621421
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/27/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 07/28/2022 Section Cited CCR 102423(a)(d)	1 2 3 4 5 6 7	102423 Personal Rights (4) 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, including, but not limited to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning. This requirement was not met, as evidenced by:	1 2 3 4 5 6 7	LPA reviewed Personal Rights regulations with Licensee and will follow up with training videos via email. Licensee will submit a self attestation to LPA that they have viewed the training videos by POC due date. LPA has also recommended reaching out to the local R&R for additional training.
	8 9 10 11 12 13 14	Based on interviews, the Licensee did not utilize an appropriate form of discipline, as 6 out of 8 children interviewed stated that the licensee has hit children. This poses an immediate risk to the health and safety of children in care.	8 9 10 11 12 13 14
	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: Seychelle De Luca	TELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Karyn Guerra	TELEPHONE: (916) 216-7790
LICENSING EVALUATOR SIGNATURE:	DATE: 07/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2022

LIC9099 (FAS) - (06/04)

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