393620781-10-10-2019-53-CC-MMAA-BH2LV2-20191017090446

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 393620781
Report Date: 10/10/2019
Date Signed: 10/10/2019 01:55:51 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
07/18/2019 and conducted by Evaluator Stacey Williams

PUBLIC

COMPLAINT CONTROL NUMBER: 53-CC-20190718135351

FACILITY NAME:	CREATIVE CHILD CARE @ DON AVENUE CDC		FACILITY NUMBER:	393620781
ADMINISTRATOR:	EISON, DEBRA		FACILITY TYPE:	850
ADDRESS:	8121 DON AVENUE		TELEPHONE:	(209) 956-2686
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95209
CAPACITY:	109	CENSUS: 52	DATE:	10/10/2019
		UNANNOUNCED	TIME BEGAN:	12:03 PM
MET WITH:	Rebecca Chi		TIME COMPLETED:	01:59 PM

ALLEGATION(S):

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Facility staff failed to meet daycare child's diapering needs

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Stacey Williams arrived at the childcare center for the purpose of delivering complaint findings regarding the allegation listed above. LPA met with Program Director, Rebecca Chi. LPA observed 52 children supervised by eight staff.
LPA conducted an investigation regarding the allegation listed above. The facility was toured, child #1's file was reviewed, and pertinent documentation was received to assist with the investigation. LPA interviewed the complainant, Site Supervisor, and childcare staff. Child#1's parent was contacted however was unresponsive. It was alleged that facility staff failed to ensure child #1's diapers and wipes were used specifically on the child. Child #1 has a documented case of severe eczema. The allegation alleged that staff used diapers and wipes on child#1 that were not the child's which resulted in child #1 sustaining a diaper rash. Staff denied the allegation and reported that child#1's diapers and wipes were used solely on the child. Staff acknowledged that spare wipes were accessible in the classroom to use for cleaning children's hands. Staff reported that they were cautious of child #1's allergy and only used their diapers and wipes. Facility staff met with the parent of child#1 after an accusation of the wrong diapers and wipes being used. An action plan was developed to ensure that going forward all staff are aware of child#1's allergy and diapering procedures. Based on the information received the allegation is determined to be unsubstantiated. 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.
An exit interview was conducted and a Notice of Site Visit posted. Appeal rights were discussed and provided to the Program Director.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Stacey Williams	TELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:	DATE: 10/10/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2019

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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