393616576-6-29-2021-53-CC-BENN-C4BVDQ-20210625162109

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 393616576
Report Date: 06/24/2021
Date Signed: 06/29/2021 08:12:55 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
05/13/2021 and conducted by Evaluator Elvira Sierra

PUBLIC

COMPLAINT CONTROL NUMBER: 53-CC-20210513154849

FACILITY NAME:	HILL, BRANDI		FACILITY NUMBER:	393616576
ADMINISTRATOR:	HILL, BRANDI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(209) 518-7262
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95209
CAPACITY:	14	CENSUS: 9	DATE:	06/24/2021
		UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Brandi Hill		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Personal Rights-Children sustained injuries while in care.

INVESTIGATION FINDINGS:

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This report is an an amendment of original document on 06/25/21. Census was 6 children.
On Thursday June 24, 2021 at 12:15 p.m. Licensing Program Analyst (LPA) Elvira Sierra conducted an unannounced inspection to deliver the complaint findings for the above allegation and met with Licensee, Brandi Hill. LPA toured the home in areas accessible to children and observed Licensee and Staff # 1 (S1) caring for 6 day care children.
The Reporting Party (RP) alleged Child # 1 (C1) and Child # 2 (C2) sustained unexplained injuries such as bruises and rug burn while in care. During the investigation LPA Sierra obtained relevant information and interviewed RP, Licensee, Staff, Parents and Children. Licensee stated she never observed C1 getting hurt on 05/11/21 or having any bruises. Furthermore, Licensee explained that the bruise/mark on C1’s ear could have been from C1’s resting her head on her (Licensee) collarbone. During interviews Licensee and Staff stated to be unaware of any injuries. RP did not provide a medical report to LPA to corroborate the nature of the bruise on C1’s ear. Children that were interviewed disclosed to like L1 and the staff. Child files that were reviewed did not contain any Ouch Reports, and parents who were interviewed did not express concern regarding the care and supervision provided.
Report continues on subsequent page 809C--

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 06/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2021

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-20210513154849

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: HILL, BRANDI	FACILITY NUMBER: 393616576
	VISIT DATE: 06/24/2021

NARRATIVE

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Based on the information obtained throughout the course of this investigation the above allegation 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 conducted, this reports and appeal of rights were explained, and a printed copy was provided to Licensee. Notice of Site Visit was posted and should remain posted for 30 days. No deficiencies cited during today's inspection.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 06/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2021

LIC9099 (FAS) - (06/04)

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