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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455404876
Report Date: 03/01/2021
Date Signed: 03/02/2021 11:10:35 AM



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
01/15/2021 and conducted by Evaluator Carrie Wisehart
COMPLAINT CONTROL NUMBER: 13-CC-20210115085231
FACILITY NAME:GUIN, JEANETTE FAMILY CHILD CARE HOMEFACILITY NUMBER:
455404876
ADMINISTRATOR:GUIN, JEANETTEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 347-5547
CITY:COTTONWOODSTATE: CAZIP CODE:
96022
CAPACITY:14CENSUS: 8DATE:
03/01/2021
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Jeanette Guin Licensee TIME COMPLETED:
12:20 PM
ALLEGATION(S):
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Facility is not free from odor
INVESTIGATION FINDINGS:
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On 3/1/21, Licensing Program Analyst (LPA) Carrie Wisehart and Licensing Program Manager, Megan Aviles, conducted a subsequent complaint investigation inspection to the facility via teleconference due to the current state of emergency regarding the COVID-19 outbreak, for the purpose of delivering complaint findings. It was alleged that the facility is not free from pet odors.
The licensee was interviewed on 1/22/21 at 12 pm and stated that due to COVID parents are not coming inside the facility but denied the facility smells from pet odors. The license did acknowledge having 1 dog, 7 cats, 3 rabbits, a guinea pig and lots of chickens. The licensee acknowledged the dog and cats have access to both inside and outside and that the rabbits, guinea pig and chickens sometimes come inside at night, but they are in cages.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Carrie WisehartTELEPHONE: (530) 895-5824
LICENSING EVALUATOR SIGNATURE:

DATE: 03/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2021
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 3
Control Number 13-CC-20210115085231
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: GUIN, JEANETTE FAMILY CHILD CARE HOME
FACILITY NUMBER: 455404876
VISIT DATE: 03/01/2021
NARRATIVE
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Facility Is not free from odors

Interviews with 2 out of 2 staff on 1/27/21 & 1/28/21, indicated that they clean daily and that staff are pretty good at keeping the cat litter box clean. Staff do acknowledge that the dog, cats go inside and that rabbits and chicken (in cages) are brought inside for overnight hours. Interviews with 1 out of 1 children on 1/29/21, indicated that C1 has recently observed the dog and cats poop on the daycare floor and indicated staff don’t always clean it up right away which can results in odors. Interviews with 8 out of 8 witness on 1/19; 1/27 and 2/11/21 indicated that they have witnessed animals in the home. Witness interviews with W1; W2 and W10 confirmed smelling cat urine during pickups/drop offs in the day care room.

The LPA has determined thru interviews that animal odors have been present at the facility.

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 posed for 30 days.

SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Carrie WisehartTELEPHONE: (530) 895-5824
LICENSING EVALUATOR SIGNATURE:

DATE: 03/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 13-CC-20210115085231
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: GUIN, JEANETTE FAMILY CHILD CARE HOME
FACILITY NUMBER: 455404876
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/01/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
03/01/2021
Section Cited
CCR
10241
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Operation of a Family Child Care Home 10241
This requirement was not met as evidenced by: Based on interviews the licensee did not keep the facility free from pet odors. This poses a potential risk to children in care.
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The licensee will conduct a deep cleaning of day care room to remove odors. A written plan detailing cleaning steps taken and a written statement that the licensee will ensure that the facility will remain clean, free from pet odors and orderly to Title 22 standards which will be sent to CCL by 3/8/21. This poses a potential risk to children in care.
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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: Carrie WisehartTELEPHONE: (530) 895-5824
LICENSING EVALUATOR SIGNATURE:

DATE: 03/01/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3