483005287-5-26-2020-13-CC-EVIA-BPYQ76-20200526115433

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 483005287
Report Date: 05/22/2020
Date Signed: 05/26/2020 10:41:47 AM

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
02/21/2020 and conducted by Evaluator Carrie Wisehart

PUBLIC

COMPLAINT CONTROL NUMBER: 13-CC-20200221162923

FACILITY NAME:	STENZ, PAULA FAMILY CHILD CARE HOME		FACILITY NUMBER:	483005287
ADMINISTRATOR:	STENZ, PAULA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(707) 469-9100
CITY:	VACAVILLE	STATE: CA	ZIP CODE:	95687
CAPACITY:	14	CENSUS: 2	DATE:	05/22/2020
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Paula Stenz		TIME COMPLETED:	09:20 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Physical Abuse

INVESTIGATION FINDINGS:

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

The facility inspection was conducted via tele-inspection due to the current state of emergency regarding the COVID-19 outbreak. On 5/22/20 at 9 am, Licensing Program Analyst (LPA) Wisehart conducted an unannounced complaint inspection, and met with licensee, Paula Stenz. .It was alleged that physical abuse had occurred.
This allegation was investigated by the Departments Investigation Bureau (IB), by Investigator, Juan Barajas. The IB report indicates that the licensee was interviewed by IB investigator Nancy Saechao, on 5/4/20 at 10:30 am and denied that child (C1) had suffered any injuries while in care. Staff (S1) on 5/4/2020 at 9:15 am also denied observing any injuries occurring to child (C1) during day care hours. Witness (W1) stated child (C1) was examined at the hospital and the child’s bruising was in various stages, old and new, though cause(s) were undetermined. Witness (W2/W3) when interviewed on 4/27 at 1:15 pm and 5/1 at 3:45 pm, could not state how child (C1) had obtained the injuries that resulted in the bruising. The police report was observed and determined not to have been able to substantiate the allegation. Though child (C1) did have bruising, the investigation could not determine when or where the child obtained the injuries.
Unsubstantiated Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the allegation violation occurred, and the findings are unsubstantiated. An exit interview was conducted. The Notice of Site Visit must be posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Carrie Wisehart	TELEPHONE: (530) 895-5824
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2020

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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