<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455406201
Report Date: 01/21/2022
Date Signed: 01/21/2022 01:28:27 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
01/14/2022 and conducted by Evaluator Jaime Snow
COMPLAINT CONTROL NUMBER: 13-CC-20220114134819
FACILITY NAME:KINDERLAND CHILD DEVELOPMENT CENTERFACILITY NUMBER:
455406201
ADMINISTRATOR:WILSON, SUSANFACILITY TYPE:
840
ADDRESS:1630 VICTOR AVENUETELEPHONE:
(530) 223-6161
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY:28CENSUS: DATE:
01/21/2022
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Karen NostrandTIME COMPLETED:
12:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Child's confidential information was disclosed to other families
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On January 12, 2022 at 10:30am, Licensing Program Analyst (LPA) Snow conducted an unannounced complaint inspection and met with facility representative, Karen Nostrand. It was alleged that a Child's confidential information was disclosed to other families; specifically the COVID positive status of a child. Karen Nostrand said their procedure is to post the exposure and call parents without revealing names however a staff did reveal confidential information and she has re-trained to all staff about the concern. The LPA interviewed two staff and one admitted to revealing the name of a child to another parent 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.
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: 01/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2022
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 2
Control Number 13-CC-20220114134819
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: 455406201
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/21/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/24/2022
Section Cited
CCR
101221(c)
1
2
3
4
5
6
7
Child's Records All information and records obtained from or regarding children shall be confidential. This requirement is not met as evidenced by: as based on witness statements.
1
2
3
4
5
6
7
The facility representative said the retraining has already been conducted. Please confirm this in writing to clear the violation by 1/24/22.
8
9
10
11
12
13
14
The licensee failed to safeguard the COVID positive status of a child which poses/posed a potential Health and Safety risk to children in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: 01/21/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2