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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 406214213
Report Date: 11/06/2020
Date Signed: 11/06/2020 09:11:51 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/22/2020 and conducted by Evaluator Melissa K Stewart
COMPLAINT CONTROL NUMBER: 17-CC-20201022172400
FACILITY NAME:KOPPER FCC AKA PASO PLAYSCHOOLFACILITY NUMBER:
406214213
ADMINISTRATOR:KOPPER, PAULAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 441-5462
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY:14CENSUS: 5DATE:
11/06/2020
UNANNOUNCEDTIME BEGAN:
08:55 AM
MET WITH:Paula KopperTIME COMPLETED:
09:10 AM
ALLEGATION(S):
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Licensee did not keep facility free of illness
Licensee did not provide adequate supervision
INVESTIGATION FINDINGS:
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On November 6, 2020 at 8:55 AM Licensing Program Analyst (LPA) Melissa Stewart conducted an unannounced inspection to conclude a complaint investigation. LPA advised Licensee that due to COVID-19 and Department of Public Health (DPH) guidelines of social distancing, the inspection was being conducted via WhatsApp video call. The purpose of the inspection was explained. LPA observed that S1 and Licensee were supervising five (5) children.

Complaint allegations noted above were received on October 22, 2020. The investigation included record/document review and phone interviews with Complainant, Licensee, child care Assistant and parents of children currently attending the Family Child Care Home. None of the persons interviewed corroborated the allegations presented by the Complainant. Five (5) of the seven (7) parents interviewed reported to have known the Licensee as their child's care provider for 2 years or more. Interviews with parents revealed that they were satisfied with the care and supervision their child(ren) receive. continuned 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K StewartTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2020
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 17-CC-20201022172400
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: KOPPER FCC AKA PASO PLAYSCHOOL
FACILITY NUMBER: 406214213
VISIT DATE: 11/06/2020
NARRATIVE
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None of the parents interviewed voiced any concerns or issues regarding the operation of the Family Child Care Home. Parents indicated that Licensee has clearly communicated the illness policy and that children with symptoms are not allowed to attend. Parents also reported that Licensee calls parents to pick up their child if symptoms appear while the child is in care.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. No violations were cited today.

Exit interview was conducted with Licensee, Paula Kopper, during which Appeal Rights were explained. The current COVID-19 guidelines for child care programs were also discussed. LPA will email the SLO county COVID-Guidance for child care programs and providers dated 8.01.2020 along with this report, Appeal Rights (LIC 9058 FAS 01/16) and Notice of Site Visit (LIC9213) to Licensee today. Licensee voiced understanding that in lieu of signature, Licensee is requested to reply to the email within 24 hours to confirm receipt of the documents.

The Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K StewartTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2020
LIC9099 (FAS) - (06/04)
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