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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455404006
Report Date: 07/15/2021
Date Signed: 07/21/2021 02:19:19 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
06/04/2021 and conducted by Evaluator Jaime Snow
COMPLAINT CONTROL NUMBER: 13-CC-20210604101105
FACILITY NAME:ROBERTS, PANDORA FAMILY CHILD CARE HOMEFACILITY NUMBER:
455404006
ADMINISTRATOR:ROBERTS, PANDORAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 276-9003
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY:14CENSUS: 9DATE:
07/15/2021
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Pandora Roberts TIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Personal Rights
INVESTIGATION FINDINGS:
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On July 15th, 2021 at 10:30am, Licensing Program Analyst (LPA) Snow conducted an unannounced complaint inspection and met with licensee Pandora Roberts who was supervising 9 children with an assistant. It was alleged that the licensee violated personal rights of a child; specifically, hitting the child for getting out of bed.
The licensee was interviewed at 2:30pm on 6/8/21and denied the allegation stating that she would never hit a child. The licensee recalled the incident stating that a hairband had snapped on the child’s forehead when she attempted to remove it. Licensee said she comforted the child. The child, age 3, was interviewed and stated that this was the only time it happened and consistently used one finger to point to a spot a few inches from the hairline when asked where she was hit.
continued
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: 07/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2021
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-20210604101105
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: ROBERTS, PANDORA FAMILY CHILD CARE HOME
FACILITY NUMBER: 455404006
VISIT DATE: 07/15/2021
NARRATIVE
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LPA did not observe any inappropriate interactions during the investigation. The LPA interviewed 12 witnesses including 2 staff, 6 parents and 4 children who all denied the allegation stating that this would be out of character for the licensee. All 4 children interviewed stated that they felt safe and that no one had hurt them at the facility.
The licensee provided staff contact information and a facility roster. 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: Erin VirruetaTELEPHONE: (530) 895-5033
LICENSING EVALUATOR NAME: Jaime SnowTELEPHONE: (530)215-6132
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2