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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 480104414
Report Date: 03/12/2021
Date Signed: 03/12/2021 02:29:24 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
09/11/2020 and conducted by Evaluator Kiriko Lynch
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20200911091425
FACILITY NAME:VACAVILLE CHRISTIAN EARLY EDUCATION PRESCHOOLFACILITY NUMBER:
480104414
ADMINISTRATOR:STEPHANIE YAMATOFACILITY TYPE:
850
ADDRESS:1117 DAVIS STREETTELEPHONE:
(707) 446-1776
CITY:VACAVILLESTATE: CAZIP CODE:
95687
CAPACITY:163CENSUS: 69DATE:
03/12/2021
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Stephanie YamatoTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
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5
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8
9
Child care children are exposed to chemical cleaning compound.
INVESTIGATION FINDINGS:
1
2
3
4
5
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7
8
9
10
11
12
13
On 03/12/2021, Licensing Program Analyst (LPA) Kiriko Lynch conducted a closing complaint investigation and met with the Director. The closing complaint investigation was conducted via tele-inspection due to the current state of emergency regarding the COVID-19 outbreak. It was alleged the child care children are exposed to chemical cleaning compound. The Director was interviewed on 09/17/20, and denied the allegation. Director stated the facility staff use cleaning compounds on the approved EPA N-list for Covid-19 mitigation and prevention purposes, and provided documentation regarding the cleaning products and staff training procedures regarding it's usage at the facility. Three staff were interviewed on 03/11/21, and stated they obtained professional training regarding the proper use of the cleaning products, and also never use the products while children are inside the facility rooms. Three parents/guardians whose children attended the facility around the time of the reported allegation were interviewed on 03/10/21 and 03/11/21, and there were no disclosures corroborating the allegation. LPA also conducted a tour of the facility and observed cleaning compound supply station. Based on interviews, observations, and records review, LPA did not find a preponderance of evidence to corroborate the allegation. 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 finding is unsubstantiated. An exit interview was conducted, and appeal rights were provided.
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Kiriko LynchTELEPHONE: (530) 895-5033
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2021
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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