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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455401999
Report Date: 12/09/2019
Date Signed: 12/09/2019 02:32:33 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
09/13/2019 and conducted by Evaluator Jaime Snow
COMPLAINT CONTROL NUMBER: 13-CC-20190913114213
FACILITY NAME:HEATHER RIDGE INFANT CENTERFACILITY NUMBER:
455401999
ADMINISTRATOR:SIMONDS, DEBBIFACILITY TYPE:
830
ADDRESS:820 SAINT MARKS ST.TELEPHONE:
(530) 241-7226
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY:12CENSUS: 15DATE:
12/09/2019
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Kristen WalworthTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Staff handled day care child in a rough manner
Staff spoke harshly to a day care child
INVESTIGATION FINDINGS:
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The Licensing Program Analyst (LPA) Snow, conducted a follow up inspection to deliver findings the allegations that Staff (S-1) spoke harshly to and handled day care child in a rough manner. Specifically that the S-1 pulled the matt in a jerking manner and pushed the child's head back down onto the mat while telling the child to "go to sleep" in a harsh manner. The LPA toured the facility with the Licensee, Debi Simonds on 9/20/19 who denied that S-1 had said anything to the child and stated that the staff had only "guided the chids head to the mat" and that S-1 had not been rough. The Licensee said the LPA that the staff had been written up but was unable to provide the documentation during the visit.

Continued page 2
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Jaime SnowTELEPHONE: (530) 215-6132
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2019
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 3
Control Number 13-CC-20190913114213
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: HEATHER RIDGE INFANT CENTER
FACILITY NUMBER: 455401999
VISIT DATE: 12/09/2019
NARRATIVE
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The LPA toured the facility on 11/13/ 19 on a subsequent visit with Director, Kristen Walworth who said she was aware of the issue but not the details as the Licensee, Ms. Simonds, follow ups up on issues with staff. On 11/13/19 The Director provided a copy of the "Official Reprimand" dated 8/9/19 (two days after the incident) for "Tone of voice with children" and "Unappropriate Nap Procedures" and was marked as a Second Warning for S-1 . The Licensee continued to deny either were true and said she had given S-1 the write up "Just to make her aware that we had a complaint". The LPA did not observe any staff yelling or being rough with children during the three inspections (9/20/19 & 11/13/19 & 12/9/19). Two parents (that were present during the incident), Five Staff, the director and the Licensee were all interviewed and the allegations were corroborated: SUBSTANTIATED.

The following violation of the California Code of Regulations, Title 22; Division 12, was observed: see LIC 9099D. Reports citing Type A violations are to be provided to parents/guardians of children currently in enrolled and to parents/guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must sign Form LIC9224 to be kept in each child's file. Notice of Site Visit shall be posted for 30 days from today’s visit.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Jaime SnowTELEPHONE: (530) 215-6132
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 13-CC-20190913114213
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: HEATHER RIDGE INFANT CENTER
FACILITY NUMBER: 455401999
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/09/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/10/2019
Section Cited
CCR
101223(a)(1)
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Personal Rights: To be accorded dignity in his/her personal relationships with staff and other persons. S-1 pushed a child's head down and spoke harshly during nap time on 8/7/19.
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The Director agrees to conduct an all staff training as to how to be appropriate for children having trouble sleeping at nap time including a section of personal rights.
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This requirement was met as evidenced by: staff & parent interviews and the Official Reprimand of S-1.
This poses an immediate health and safety risk for children in care.
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The licensee agrees to submit training plan by 12/10/19 and evidence of staff training by 12/16/19.
Type A violation requires a signed LIC9224 to be kept in each child's file for the next 12 months.
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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: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Jaime SnowTELEPHONE: (530) 215-6132
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 3