<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343622674
Report Date: 09/24/2021
Date Signed: 09/24/2021 01:23:29 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
07/23/2021 and conducted by Evaluator Fabiola Diaz
COMPLAINT CONTROL NUMBER: 53-CC-20210723135000
FACILITY NAME:LU, CHUNYINGFACILITY NUMBER:
343622674
ADMINISTRATOR:LU, CHUNYINGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 843-4335
CITY:ELK GROVESTATE: CAZIP CODE:
95757
CAPACITY:14CENSUS: 13DATE:
09/24/2021
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Chunying LuTIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
staff are not wearing face coverings
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Fabiola Diaz met with Licensee, Chunying Lu, to deliver the findings of the complaint investigation regarding the above allegation.
During the course of the investigation, LPA conducted interviews, and obtained information pertaining to the allegation. It was alleged that daycare staff are not wearing face coverings. Licensee disclosed that licensee and staff had stopped wearing masks sometime during COVID-19, because the children were scared of the masks. On 7/28/21 LPA observed the licensee and assistant not wearing face coverings. On today’s date, 9/24/21, LPA observed licensee, assistant, and children over the age of 2 wearing face coverings inside the facility. The preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. A technical violation was provided to licensee, as this allegation can be a potential threat to day care children. Licensee stated that no individuals have ever tested positive for COVID-19 at the facility. An exit interview was conducted with the Licensee. Appeal rights were printed and provided. Notice of Site Visit was provided and should remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Jeanne SmithTELEPHONE: (916) 263-2002
LICENSING EVALUATOR NAME: Fabiola DiazTELEPHONE: (916) 206-9352
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2021
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 2