444405736-8-9-2023-07-CC-JSEA-CVKVAJ-20230911161601

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 444405736
Report Date: 08/09/2023
Date Signed: 08/09/2023 01:31:36 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/02/2023 and conducted by Evaluator Cortney Nelson

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20230602103910

FACILITY NAME:	HURLEY, DEBBIE		FACILITY NUMBER:	444405736
ADMINISTRATOR:	DEBBIE HURLEY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(831) 419-5126
CITY:	WATSONVILLE	STATE: CA	ZIP CODE:	95076
CAPACITY:	14	CENSUS: 10	DATE:	08/09/2023
		UNANNOUNCED	TIME BEGAN:	12:45 AM
MET WITH:	Debbie Hurley		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Provider hits day care children.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Cortney Nelson, met with Licensee, Debbie Hurley, and explained purpose of today's visit, conduct Licensee interview and deliver complaint investigation findings. LPA was admitted into the home by the Licensee upon arrival.

Based on the available evidence, such as interviews conducted with children and other witnesses who gave consistent statements, the preponderance of evidence standard has been met, therefore the above allegation is SUBSTANTIATED.

California Code of Regulations (Title 22, Division 12) are being cited on attached LIC9099-D.

***Report continues on LIC9099-C***

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney Nelson	TELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023

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 07-CC-20230602103910

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: HURLEY, DEBBIE	FACILITY NUMBER: 444405736
	VISIT DATE: 08/09/2023

NARRATIVE

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** Continued from LIC9099**

LPA informed Licensee, Debbie Hurley, that this report dated 8/9/2023 documents one Type A citation, which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA informed the Licensee to provide a copy of this licensing report dated (8/9/2023) that documents a Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

As a result of today's inspection, a deficiency has been cited, see LIC9099-D.

Exit interview conducted and report was reviewed with the Licensee, Debbie Hurley.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST BE POSTED FOR 30 DAYS. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney Nelson	TELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023

LIC9099 (FAS) - (06/04)

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Control Number 07-CC-20230602103910

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: HURLEY, DEBBIE	FACILITY NUMBER: 444405736
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/09/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 08/10/2023 Section Cited CCR 102423(a)(4)	1 2 3 4 5 6 7	102423 Personal Rights (a) Each child receiving services...shall have certain rights that shall not be waived or abridged by the licensee... These rights include... the following: (4) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature..	1 2 3 4 5 6 7	The Licensee states that she will read through Section 102423 Personal Rights and write a letter to the Department. POC will be submitted to the Department by 8/18/2023.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by: Based on interviews with witnesses, the Licensee uses corporal punishment with children in care, which poses an immediate risk to the health, safety, and personal rights of children in care.	8 9 10 11 12 13 14	If Licensee chooses to appeal the deficiency, LPA advised the Licensee that she is still required to remain in compliance and submit POC by due date indicated.
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	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney Nelson	TELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023

LIC9099 (FAS) - (06/04)

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