483005287-3-1-2021-13-CC-EVIA-BYRMJ2-20210303083824

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 483005287
Report Date: 03/01/2021
Date Signed: 03/01/2021 09:11:08 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
12/09/2020 and conducted by Evaluator David Wilson

PUBLIC

COMPLAINT CONTROL NUMBER: 13-CC-20201209121044

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: 4	DATE:	03/01/2021
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Paula Stenz		TIME COMPLETED:	08:45 AM

ALLEGATION(S):

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Child was bitten several times while in care.

INVESTIGATION FINDINGS:

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On 03/01/21 this facility complaint follow up was conducted with licensee Paula Stenz via tele-inspection due to the current state of emergency regarding the COVID-19 outbreak.

It was alleged that on 12/08/2020 a child (C1) was bitten by another child (C2) while in napping area. C2 allegedly crawled to C1’s crib biting C1 a total of approximately nine times on locations of arms, legs, back and buttocks. The allegation included that an authorized representative brought C1 for medical care due to some bites broke skin. It was alleged there are injury photographs. It was alleged licensee and no other adults at facility observed any of the biting.

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Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: David Wilson	TELEPHONE: (530) 513-0993
LICENSING EVALUATOR SIGNATURE:	DATE: 03/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2021

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-20201209121044

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: STENZ, PAULA FAMILY CHILD CARE HOME	FACILITY NUMBER: 483005287
	VISIT DATE: 03/01/2021

NARRATIVE

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LPA interviewed licensee during this complaint opening on 12/14/2020. Licensee stated that on 12/08/2020 licensee was adequately supervising seven children (including C1 and C2) with two staff present, licensee and another staff (S1) during the time frame of said biting incident. On 12/08/2020 per licensee statement the facility was operating in compliance with capacity and ratio requirements. Per licensee on 12/08/20 during said incident C1 was in a crib and C2 was located on a napping mat with both in a facility napping room with other children there also. Per licensee, during said napping time staff were frequently supervising all children in said napping room by eyesight and hearing range and doing so within 15 minute intervals. During this time frame in question per licensee C1 was sound asleep and all children in the room were adequately spaced situated on their respective spaces. Licensee stated an additional supervision tool staff uses to supervise the facility is to monitor via video enabling staff to observe said napping area and various other locations throughout facility including the outside entryway. Per licensee, has thought since its believed the incident occurred while C1 was sleeping so C1 must have been too surprised at first just after getting bit to cry out. Licensee stated that nonetheless as soon as C1 cried out it was believed to be still very soon after C1 getting bit. As soon as licensee heard C1 crying out went immediately to check on C1. Licensee stated observing C2 with C1 inside said crib. Licensee next separated C1 and C2. Licensee next took all children out of this napping room except let C1 remain in napping to rest on the napping mat. Licensee stated observing multiple bite marks on back, arms, buttocks that per licensee appeared as “small” marks with no blood and some of the bites did break skin. Next per licensee staff contacted authorized representatives of C1 and C2 to report this incident. Licensee stated to LPA of having never observed any child climb into another child’s crib, so this incident was per licensee a surprise to licensee stating this incident with C2 going inside C1's crib was “spontaneous”. Per licensee, after said incident all the regular activities resumed including no notice from C1 of any lingering pains or issues.

On 12/14/2020 during LPA’s complaint inspection at approximately 10:32am licensee began presenting C1 who was attending that date during tele-inspection where it was facilitated by licensee where LPA did observed C1’s back was with two bite marks. One mark appeared to LPA as mouth-like-shaped and the other as like the one half of same above shape. LPA asked licensee if any remaining notable visible marks remain on body and per licensee none as such notable remain existing at time of this said tele-inspection.

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SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: David Wilson	TELEPHONE: (530) 513-0993
LICENSING EVALUATOR SIGNATURE:	DATE: 03/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2021

LIC9099 (FAS) - (06/04)

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Control Number 13-CC-20201209121044

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: STENZ, PAULA FAMILY CHILD CARE HOME	FACILITY NUMBER: 483005287
	VISIT DATE: 03/01/2021

NARRATIVE

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At 12/14/20 tele-inspection LPA arranged with licensee to obtain copies of documents of relevance to this investigation including facility child roster and staff contact information (which was received by LPA in a timely manner). On the 12/14/20 inspection LPA conducted interviews with licensee and staff (S1) and on 02/26/21 LPA conducted another staff (S3) interview. On the both of LPA's inspections (12/14/20 and 03/01/21) observed the facility was clean and orderly and operating in compliance with the capacity and ratio regulations (at times of LPA's two inspections on 12/14/20 per licensee there was two staff supervising seven children in care and on 03/01/21 per licensee two staff were supervising four children).

During this investigation document and interview evidence does not provide a preponderance of evidence to corroborate the allegation. Based on the evidence obtained during this investigation 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 so the findings are unsubstantiated.

Notice of Site Visit provided to be posted for 30 days from this inspection date.

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: David Wilson	TELEPHONE: (530) 513-0993
LICENSING EVALUATOR SIGNATURE:	DATE: 03/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2021

LIC9099 (FAS) - (06/04)

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