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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343622070
Report Date: 01/20/2022
Date Signed: 01/20/2022 11:42:53 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
11/18/2021 and conducted by Evaluator Chayntel Hunter
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20211118160729
FACILITY NAME:COLVARD, TIFFANYFACILITY NUMBER:
343622070
ADMINISTRATOR:COLVARD, TIFFANYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 373-4087
CITY:ELK GROVESTATE: CAZIP CODE:
95757
CAPACITY:14CENSUS: 12DATE:
01/20/2022
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Licensee, Tiffany ColvardTIME COMPLETED:
11:50 AM
ALLEGATION(S):
1
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9
Children are not adequately supervised
Licensee does not intervene in inappropriate behavior between children
INVESTIGATION FINDINGS:
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12
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Licensing Program Analyst (LPA) Chayntel Hunter met with Licensee, Tiffany Colvard to deliver the findings of the complaint investigation regarding the above allegations. During the course of the investigation, LPA Hunter conducted interviews, and obtained documentation pertaining to allegation. It was alleged that children are not adequaltely supervised and that the licensee did not intervene when children were having disagreements. Interviews conducted did not corroborate the allegations. All incidents are reported to parents via telephone call or text message.

Based on the information obtained throughout the course of this investigation the above allegations could not be substantiated or dismissed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the finding is UNSUBSTANTIATED. Exit interview was conducted. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Justin L DentonTELEPHONE: (916) -92-0269
LICENSING EVALUATOR NAME: Chayntel HunterTELEPHONE: (916) 917-8620
LICENSING EVALUATOR SIGNATURE:

DATE: 01/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2022
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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