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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455403967
Report Date: 02/11/2022
Date Signed: 02/11/2022 03:10:28 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
12/01/2021 and conducted by Evaluator Jaime Snow
COMPLAINT CONTROL NUMBER: 13-CC-20211201151920
FACILITY NAME:KINDERLAND CHILD DEVELOPMENT CENTERFACILITY NUMBER:
455403967
ADMINISTRATOR:WILSON, SUSANFACILITY TYPE:
830
ADDRESS:1630 VICTORTELEPHONE:
(530) 223-6161
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY:36CENSUS: 8DATE:
02/11/2022
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Susan Wilson TIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Licensee did not provide a copy of Type A deficiencies (LIC809-D or 9099-D) to child's authorized representative.
INVESTIGATION FINDINGS:
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On 2/11/22 at 2 PM Licensing program analyst (LPA) Snow conducted a facility inspection to deliver complaint findings. It was alleged that the Licensee did not provide a copy of Type A deficiencies (LIC809-D or 9099-D) to child's authorized representative; specifically that parents were not notified of past violations that affect the health and safety of children in care. The regulation states that when a facility is issued a type A violation, they are required to provide copies of the citations to the parent/legal guardian (including those who enroll over the preceding 12 months).
The facility was issued type A Violations on 7/21/21. The licensee, Susan Wilson, was interviewed on 2/8/22 at 2 PM and stated that there was a flaw in their system that had caused them to miss this step on two files when they were in the process of enrollment. She said the problem had been addressed.
continued........
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-5033
LICENSING EVALUATOR NAME: Jaime SnowTELEPHONE: (530)215-6132
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2022
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 4
Control Number 13-CC-20211201151920
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: KINDERLAND CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 455403967
VISIT DATE: 02/11/2022
NARRATIVE
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On 12/3/21 Theresa Russo and the LPA reviewed 14 files and were unable to locate the signed documentation ‘Acknowledgment of Receipt of Licensing Reports’ (LIC 9224) in seven as follows: Four (C1, C11, C12, C14) of the 14 files checked were missing any documentation. Three of the signed forms (C2, C3, C13) indicated that the type A violations were posted or could be found online instead of providing a copy as required. On 12/3/21 Office staff, Theresa Russo confirmed said that in some cases they tell the parents where to find the reports online instead of providing a copy. Five parents were interviewed and one confirmed that they never received copies of the Type A reports and were not aware of the previous violations that affect the health and safety of children in care therefore the allegation is substantiated.

Based on the evidence obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, (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: Erin VirruetaTELEPHONE: (530) 895-5033
LICENSING EVALUATOR NAME: Jaime SnowTELEPHONE: (530)215-6132
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 13-CC-20211201151920
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: KINDERLAND CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 455403967
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/11/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/15/2022
Section Cited
HSC
1596.893b
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Health and Safety Code Section 1596.8595 (c) A licensed child care facility or home shall provide to the parents of each child receiving services in the facility copies of any licensing report that documents any Type A citation that represents an immediate risk to the health, safety, or personal rights of children in care as specified in paragraph (1) of subdivision (a) of Section 1596.893b.
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The Licensee agrees to provide copies of the type A violations to the following parent/legal guardians and have them resign & re-date the LIC 9224 for the following children: Needed for C2 & C13 only
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This requirement is not met as evidenced by: missing documentation for C1, C2, C3, C11, C12, C13 & C14 as based on file review and interviews the facility failed to provide copies of type A violations to Children's representatives. Which poses/posed a potential Health and Safety risk to children in care.
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indicating they received a copy of the facility report for the type A violations (9099'd pages dated 6/30/21 & 7/2/21)
(the rest of the missing documents were already provided or no longer needed)
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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: Erin VirruetaTELEPHONE: (530) 895-5033
LICENSING EVALUATOR NAME: Jaime SnowTELEPHONE: (530)215-6132
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 4
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
12/01/2021 and conducted by Evaluator Jaime Snow
COMPLAINT CONTROL NUMBER: 13-CC-20211201151920

FACILITY NAME:KINDERLAND CHILD DEVELOPMENT CENTERFACILITY NUMBER:
455403967
ADMINISTRATOR:WILSON, SUSANFACILITY TYPE:
830
ADDRESS:1630 VICTORTELEPHONE:
(530) 223-6161
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY:36CENSUS: 8DATE:
02/11/2022
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Susan Wilson TIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff did not ensure that child's diapering needs were met
INVESTIGATION FINDINGS:
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On 2/11/22 at 2 PM, Licensing Program Analyst (LPA) Snow conducted an unannounced complaint inspection, and met with licensee, Susan Wilson to deliver findings. It was alleged that Staff did not ensure that child's diapering needs were met; specifically, that rash cream was not applied as requested resulting in a significant rash and pain. On December 3, 2021 at 1pm, Theresa Russo denied the allegation and said she was aware that a parent had complained and that she had never seen the rash and believed the cream was being applied as directed. A copy of the child and staff rosters were received during the visit. On 2/8/22 at 2PM the licensee, Susan Wilson was interviewed and denied any issues with diapering cream. She said the cream was used as requested and that there may have been a few times that the cream was not used because there was no rash present but when the parent expressed concern she had the staff be sure it was applied every time. On 2/11/22 she supplied documentation for the rash cream supplied by the family. The LPA interviewed 5 parents and 2 staff; all denied the allegation therefore the allegation is unsubstantiated.
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.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-5033
LICENSING EVALUATOR NAME: Jaime SnowTELEPHONE: (530)215-6132
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 4