475406507-2-16-2021-13-CC-MAVS-BYCQMN-20210218111750

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 475406507
Report Date: 01/22/2021
Date Signed: 02/16/2021 04:33:36 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
10/01/2020 and conducted by Evaluator Jaime Snow

COMPLAINT CONTROL NUMBER: 13-CC-20201001155705

FACILITY NAME:	ANDERSON, KAYLA FAMILY CHILD CARE HOME		FACILITY NUMBER:	475406507
ADMINISTRATOR:	ANDERSON, KAYLA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(530) 340-0895
CITY:	YREKA	STATE: CA	ZIP CODE:	96097
CAPACITY:	14	CENSUS:	DATE:	01/22/2021
		UNANNOUNCED	TIME BEGAN:	05:30 PM
MET WITH:	Kayla Anderson		TIME COMPLETED:	06:00 PM

ALLEGATION(S):

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Licensee inappropriately handled child in care.

INVESTIGATION FINDINGS:

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The facility inspection was conducted via video due to the current state of emergency regarding the COVID-19 outbreak. A follow-up video visit was made Licensing Program Analyst (LPA) Snow who met with the Licensee, Kayla Anderson. It was alleged that the Licensee inappropriately handled child in care: specifically tapping and flicking children on the forehead and hands when they do something wrong. At 3:40pm on 1/21/21 The Licensee denied flicking any children but said she does gently tap them on the mouth or hand to indicate the body part that the child used to hit, throw or bite while telling them something along the lines of “No, thank, you don’t hit”. The LPA did not observe any inappropriate interactions during the video visits and phone calls on 10/12/20 &12/23/20 & 1/21/21 & 10/22/21.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Jaime Snow	TELEPHONE: (530) 215-6132
LICENSING EVALUATOR SIGNATURE:	DATE: 01/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 13-CC-20201001155705

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: ANDERSON, KAYLA FAMILY CHILD CARE HOME	FACILITY NUMBER: 475406507
	VISIT DATE: 01/22/2021

NARRATIVE

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Interviews were conducted with 8 parents, 4 staff and 7 children. 4 of the children said they witnessed the licensee flicking children, 4 of the children said the flicking or tapping was hard and caused the children to cry which corroborated the allegation that the Licensee inappropriately handled child in care.

The preponderance of evidence supports the allegation. The allegation is substantiated. Appeal Rights were given to the licensee. This report was reviewed and discussed with the licensee. The following deficiencies of Title 22, Division 12 are cited (see LIC9099D).

THIS REPORT MUST BE POSTED FOR 30 DAYS.
The licensee shall provide copies of this report to all parents/guardians of children currently enrolled and of children newly enrolled at the facility for the next 12 months. Form LIC9224 must be signed by each parent/guardian and kept in each child's file. Type A deficiencies are defined as an immediate Health and Safety risk to children in care.

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Jaime Snow	TELEPHONE: (530) 215-6132
LICENSING EVALUATOR SIGNATURE:	DATE: 01/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2021

LIC9099 (FAS) - (06/04)

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Control Number 13-CC-20201001155705

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: ANDERSON, KAYLA FAMILY CHILD CARE HOME	FACILITY NUMBER: 475406507
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/22/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 01/25/2021 Section Cited CCR 102423(a)(1)	1 2 3 4 5 6 7	Personal Rights. Each child receiving services from a family child care home shall be accorded dignity in his/her personal relationships with staff, residents and other persons. This requirement is not met as	1 2 3 4 5 6 7	The licensee agreed to ensure that a child's personal rights are not infringed upon when children are in care. A copy of personal rights regulations were provided and shall be reviewed and signed
	8 9 10 11 12 13 14	evidenced by child interviews stating the Licensee flicks or taps children on the face and hands causing them to cry when they do something wrong. Which poses/posed a potential Health and Safety risk to children in care.	8 9 10 11 12 13 14	by all staff and sent to CCLD by 5:00pm on 1/25/21. In addition the staff shall watch the personal rights video on the CCL website and submit a new plan for correcting younger 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 Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Jaime Snow	TELEPHONE: (530) 215-6132
LICENSING EVALUATOR SIGNATURE:	DATE: 01/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2021

LIC9099 (FAS) - (06/04)

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