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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455401999
Report Date: 01/07/2022
Date Signed: 01/07/2022 05:04:32 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
12/29/2021 and conducted by Evaluator Bianca Mendez
COMPLAINT CONTROL NUMBER: 13-CC-20211229084234
FACILITY NAME:HEATHER RIDGE INFANT CENTERFACILITY NUMBER:
455401999
ADMINISTRATOR:WALWORTH, KRISTENFACILITY TYPE:
830
ADDRESS:820 SAINT MARKS ST.TELEPHONE:
(530) 241-7226
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY:12CENSUS: 6DATE:
01/07/2022
UNANNOUNCEDTIME BEGAN:
11:06 AM
MET WITH:Kristen Walworth TIME COMPLETED:
12:40 PM
ALLEGATION(S):
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Facility has mold
INVESTIGATION FINDINGS:
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On 1/7/22 at 11:06am Licensing Program Analyst (LPA) Mendez conducted an unannounced complaint inspection and met with licensee Debbie Simonds and administrator Kristen Walworth.
It was alleged that the facility has mold, specifically in the nap room where children crawl.
The licensee was interviewed at 11:15am and stated that she was not aware of the mold in the infant's room. LPA Mendez met with the administrator and was interviewed at 11:35am and stated that she did not know about the mold under the carpet. At 11:21am LPA Mendez went into the infant room during nap time and there were 6 infants napping and at 11:23am LPA Mendez observed a children's play mat that was placed on the carpet, that was attached by velcro. The mat was near the wall and a small children's mirror was there above the carpet. LPA Mendez observed one child sleeping on the left side of the mat. LPA Mendez lifted the mat and observed that there was mold on the carpet and mold under the children's play mat. LPA Mendez had touched the carpet and the carpet was damp and discolored brown.
During today's inspection facility was toured and observed 6 infants napping in the infant room and two staff in the infant room.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Bianca MendezTELEPHONE: (530) 895-4357
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2022
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 3
Control Number 13-CC-20211229084234
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: 01/07/2022
NARRATIVE
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Based on the evidence obtained, the preponderance of evidence standard has been met, therefore the above the allegation is found to be substantiated. California Code of Regulation (Title 22), is being cited on the attached LIC 9099D. Appeal rights were provided and exit interview 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: 01/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 13-CC-20211229084234
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: 01/07/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/07/2022
Section Cited
CCR
101238(a)
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The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.
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Licensee/administrator will address the mold at facility by having the mold professionally cleanred and will submit proof with photos by 1/10/21 by mail or email.
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This requirement is not met as evidenced by: as based on faciltiy has mold. Based on observation there was mold growing under carpet placed with a children's mat on top.
Which poses an immediate Health and Safety risk to children in care.
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Parents/Guardians must sign the LIC 9224 to be kept in each child's file.
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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: Bianca MendezTELEPHONE: (530) 895-4357
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3