393622079-1-20-2023-53-CC-BENN-CNE2CN-20230124161701

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 393622079
Report Date: 01/20/2023
Date Signed: 01/20/2023 01:35:11 PM

Unsubstantiated

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
11/02/2022 and conducted by Evaluator Stacey Williams

COMPLAINT CONTROL NUMBER: 53-CC-20221102151043

FACILITY NAME:	PERDUE, KRISTI		FACILITY NUMBER:	393622079
ADMINISTRATOR:	PERDUE, KRISTI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(209) 362-0776
CITY:	TRACY	STATE: CA	ZIP CODE:	95376
CAPACITY:	14	CENSUS:	DATE:	01/20/2023
		UNANNOUNCED	TIME BEGAN:	12:02 PM
MET WITH:	Kristi Perdue		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Personal Rights:
Licensee does not keep home free from odors
Licensee handled child roughly
Licensee does not change the child's diaper timely

INVESTIGATION FINDINGS:

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On January 20, 2023 Licensing Program Analyst (LPA) Stacey Williams arrived at the facility for the purpose of delivering complaint findings. LPA met with Licensee. LPA observed 6 children (one infant ) supervised by Licensee and her Assistant. Criminal record clearances were verified.

LPA conducted an investigation regarding the allegations listed above. The facility was toured and interviews were conducted with the Reporting Party, Licensee and parents of children in the program. It was alleged that Licensee's home has a pet odor and children's diapers are not changed in a timely manner. It was also alleged that the Licensee grabbed a child from the reporting party's arms in a rough manner. Licensee denied the allegations and reported that the reporting party is involved in a custody dispute that she is being thrown into without consent. Licensee stated she follows her contract for diapering children which states that diapers are changed every one- to - two hours in addition to on an as needed basis. Licensee acknowledged having three dogs in her home in a barricaded area which was inaccessible to children in care. Licensee stated the dogs are not in the home on a regular basis. Licensee also confirmed one of the dogs had a urine accident in the home, which she was in the process of cleaning when the reporting party arrived to the home. Licensee denied handling the reporting party's child in a rough manner and described the incident as a exchange of child . Licensee reported that she reached for the child when the reporting party dropped the child off.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Stacey Williams	TELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:	DATE: 01/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2023

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-20221102151043

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: PERDUE, KRISTI	FACILITY NUMBER: 393622079
	VISIT DATE: 01/20/2023

NARRATIVE

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Inconsistent statements were received that did not corroborate the allegations. Based on the information received, the allegations are determined to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur.

No Title 22 deficiencies have been cited for this complaint.

An Exit Interview was conducted in which the report was reviewed and discussed with Licensee, Kristi Perdue. Appeal rights provided. 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.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Stacey Williams	TELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:	DATE: 01/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2023

LIC9099 (FAS) - (06/04)

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