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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455401376
Report Date: 12/15/2022
Date Signed: 12/15/2022 09:15:02 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/28/2022 and conducted by Evaluator Bianca Mendez
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20220928103756
FACILITY NAME:SHASTA HEAD START - ANDERSON PARK CENTERFACILITY NUMBER:
455401376
ADMINISTRATOR:MILLER, SUSANFACILITY TYPE:
850
ADDRESS:1600 VETERANS LANETELEPHONE:
(530) 245-5118
CITY:ANDERSONSTATE: CAZIP CODE:
96007
CAPACITY:56CENSUS: 14DATE:
12/15/2022
UNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Sarah BogenerTIME COMPLETED:
09:20 AM
ALLEGATION(S):
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Facility staff do not prevent children from harming other children in care
INVESTIGATION FINDINGS:
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On 12/15/22 at 8:20am Licensing Program Analyst (LPA) Mendez conducted a subsequent visit to the facility for the purpose of delivering complaint findings. It was alleged that facility staff do not prevent children from harming other children in care

The facility administrator was interviewed on 10/4/22 at 11:15am and stated that they have a couple of children who have behaviors and the children who do need extra support have specific disabilities plans that is within their agency.

Continued 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Bianca MendezTELEPHONE: (530) 895-4357
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 13-CC-20220928103756
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: SHASTA HEAD START - ANDERSON PARK CENTER
FACILITY NUMBER: 455401376
VISIT DATE: 12/15/2022
NARRATIVE
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Facility administrator stated that they were documenting children’s behaviors and offering developmental screeners to make referrals for children to the disability specialist.

LPA Mendez interviewed witness (W1) on 10/04/22 and stated that behaviors had been happening last year and that staff were getting hurt while they were protecting children from getting harmed by other children and these incidents were not documented.

LPA Mendez interviewed six staff (S1-S6) on 10/04/22 and 10/24/22. LPA Mendez addressed that facility staff do not prevent children from harming other children in care. LPA Mendez asked staff (S1-S6) if they are intervening when children hurt other children and how are they intervening. Six out of Six staff stated yes, they are intervening with children. Five out of six staff stated that they redirect children.

LPA Mendez asked staff (S1-S6) if children are being sent home for their behaviors, six out of six staff stated yes children are sent home for behaviors if there is a behavioral plan on file. LPA Mendez asked staff (S1-S6) if they were documenting incidents and six out of six staff stated they were documenting incident reports and reporting it to their supervisor.
LPA Mendez interviewed six children (C1-C6) on 11/7/22. LPA Mendez was able to interview 2 out of six children. LPA Mendez asked children what happens if their friends hurt them. C1 and C6, they stated that the teacher tells them to stop, and their friends get sent home.
During today’s inspection facility was toured and there 14 children present and 9 staff present in the classrooms.

Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, and the findings are unsubstantiated. An exit interview was conducted. The Notice of Site Visit must be posted for 30 days
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Bianca MendezTELEPHONE: (530) 895-4357
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2