455406084-7-7-2023-13-CC-EVIA-CTWJL9-20230720070822

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 455406084
Report Date: 07/07/2023
Date Signed: 07/07/2023 02:07:59 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO-DAY CARE, 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
06/16/2023 and conducted by Evaluator Jackie Helton

PUBLIC

COMPLAINT CONTROL NUMBER: 13-CC-20230616111627

FACILITY NAME:	SHASTA HEAD START - LAKE CENTER		FACILITY NUMBER:	455406084
ADMINISTRATOR:	WADE, TRACY		FACILITY TYPE:	850
ADDRESS:	375 LAKE BLVD., SUITE 200		TELEPHONE:	(530) 241-1036
CITY:	REDDING	STATE: CA	ZIP CODE:	96003
CAPACITY:	88	CENSUS: 19	DATE:	07/07/2023
		UNANNOUNCED	TIME BEGAN:	01:58 PM
MET WITH:	Tracy Wade		TIME COMPLETED:	02:10 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff did notify parent of child's injury

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On June 21, 2023, at 12:00 PM, Licensing Program Analyst (LPA) J. Helton conducted an unannounced complaint inspection and met with Site Supervisor Leigh Ann Lemke, it was alleged that staff did not notify parent of child injury.

The facility representative was interviewed during the visit at 12:01 PM and stated that she is substituting for the site supervisor and has no knowledge of recent injuries. Two staff (S1 and S2) were interviewed during the visit and denied the allegations, stating that parents are provided with ouch reports for any injuries sustained while in care.

On July 5, 2023, 7 client/parents (P1-P6) were interviewed. All clients/parents interviewed had no major concerns with injuries and/or accidents at the facility. All parents stated that “ouch reports” are in the sign in/sign out binder. No client/parents stated they had any substantial injuries that they were not notified about. All client parents agreed that they had received proper communication regarding injuries and accidents their children sustained.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 966-0216
LICENSING EVALUATOR NAME: Jackie Helton	TELEPHONE: 530-513-0993
LICENSING EVALUATOR SIGNATURE:	DATE: 07/07/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2023

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-20230616111627

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO-DAY CARE, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: SHASTA HEAD START - LAKE CENTER	FACILITY NUMBER: 455406084
	VISIT DATE: 07/07/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

During the visit, LPA observed the sign in/sign out binder and any current ouch reports.

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.

Exit interview conducted and report was reviewed with the Site Supervisor Tracy Wade.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. reinforcement.

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 966-0216
LICENSING EVALUATOR NAME: Jackie Helton	TELEPHONE: 530-513-0993
LICENSING EVALUATOR SIGNATURE:	DATE: 07/07/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 2