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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455407554
Report Date: 10/30/2020
Date Signed: 11/02/2020 01:52:34 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
08/04/2020 and conducted by Evaluator Carrie Wisehart
COMPLAINT CONTROL NUMBER: 13-CC-20200804094510
FACILITY NAME:RIDDLE, MINDY FAMILY CHILD CARE HOMEFACILITY NUMBER:
455407554
ADMINISTRATOR:RIDDLE, MINDYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 227-0501
CITY:REDDINGSTATE: CAZIP CODE:
96001
CAPACITY:14CENSUS: 5DATE:
10/30/2020
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Mindy RiddleTIME COMPLETED:
09:05 AM
ALLEGATION(S):
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Licensee failed to report suspected abuse.
INVESTIGATION FINDINGS:
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On 10/30/20 Licensing Program Analyst (LPA) Carrie Wisehart conducted a subsequent complaint investigation inspection to the facility via tele-inspection due to the current state of emergency regarding the COVID-19 outbreak, for the purpose of delivering complaint findings. It was alleged that the licensee failed to report suspected abuse of a child, specifically regarding an incident that occurred outside the day-care home.
The licensee was interviewed on 8/11/2020 and stated that on July 13th, 2020 that child (C1) was not brought to day-care, though a sibling was. The licensee stated that when she spoke with (C1)’s authorized representative, they acknowledged an incident occurred outside the day-care on July 12, 2020 where (C1) received an injury. The licensee stated on July 14, 2020 when (C1) was brought to day-care around 7:30 am, the licensee observed a bruise on the left side of (C1)’s face extending from the ear to the eye. The licensee stated she was not the first to see (C1)’s injury and had confirmation that it had been reported in the afternoon to local authorities on July 14,2020, though not to licensing.
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: 10/30/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2020
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-20200804094510
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: RIDDLE, MINDY FAMILY CHILD CARE HOME
FACILITY NUMBER: 455407554
VISIT DATE: 10/30/2020
NARRATIVE
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Through interviews and record reviews, LPA Wisehart was able to determine an incident did occur outside the day-care home that threatened the health and safety of (C1). The LPA determined the licensee failed to notify the Department of the suspected child abuse as required.

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 LIC 9224 was provided and discussed with the licensee. 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: 10/30/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 13-CC-20200804094510
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: RIDDLE, MINDY FAMILY CHILD CARE HOME
FACILITY NUMBER: 455407554
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/30/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/02/2020
Section Cited
CCR
102416.2(b)(3)(C)
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Reporting Requirements 102416.2(b)(3)(C)The licensee shall report to the Department any of the events as specified in Health and Safety Code Sections 1597.467(b)(1)(A) through (b)(1)(C) that occur during the operation of the family childcare home.

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Licensee to watch Child Care Reporting Requirements training video, including Mandated Reporting. A written confirmation of completion will be sent to CCL by 11/2/20.
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Any unusual incident or child absence that threatens the physical or emotional health or safety of any child."This requirement was not met as evidenced by: Based on record review and interviews with the Licensee, an unusual incident report was not provided to the Department as required. This poses an immediate 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: 10/30/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2020
LIC9099 (FAS) - (06/04)
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