455401406-11-4-2019-13-CC-EVIA-BHXV34-20191115150407

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 455401406
Report Date: 11/04/2019
Date Signed: 11/04/2019 12:10:23 PM

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
09/23/2019 and conducted by Evaluator Christen Krogstad

PUBLIC

COMPLAINT CONTROL NUMBER: 13-CC-20190923111306

FACILITY NAME:	WEST REDDING PRESCHOOL		FACILITY NUMBER:	455401406
ADMINISTRATOR:	WOOD, VICTORIA		FACILITY TYPE:	830
ADDRESS:	3490 PLACER ROAD		TELEPHONE:	(530) 243-2225
CITY:	REDDING	STATE: CA	ZIP CODE:	96001
CAPACITY:	37	CENSUS: 29	DATE:	11/04/2019
		UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Tamra Hovis		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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Lack of supervision resulting in child injury

Child's injury not reported to authorized representative

INVESTIGATION FINDINGS:

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A follow-up unannounced complaint investigation inspection was made to the facility by Licensing Program Analyst (LPA) Chris Krogstad. It was alleged that a toddler (C1) sustained an injury (broken bone) while in care and that said injury was not reported to the child's authorized representative, as required. Documentary evidence and medical records were obtained and reviewed on 9/26/19 that provided C1 was last in care at the facility on 9/19/19 and was seen by a physician on 9/23/19 where it was confirmed C1 had a broken bone but that it was unable to be suggested how or when the injury occurred. All staff were interviewed on 9/26/19, 9/27/19 and 10/25/19 and stated they did not observe any incident at any time that they believe could have resulted in C1 being injured. All staff stated that they were unaware of C1 ever having an injury, and therefore could not have and did not report any injury to C1's authorized representative. C1 was interviewed on 10/25/19 and was unable to articulate how or when the injury occurred. Based on available information, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore, the allegations are unsubstantiated. This report was reviewed with the licensee and appeal rights were provided.

Notice of site visit to be posted for 30 days.

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Christen Krogstad	TELEPHONE: (530) 895-4230
LICENSING EVALUATOR SIGNATURE:	DATE: 11/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2019

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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