<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 483007934
Report Date: 08/12/2021
Date Signed: 08/12/2021 12:28:36 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
08/02/2021 and conducted by Evaluator Mikah Martinez
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20210802082955
FACILITY NAME:KIDDIE ACADEMY - S/AFACILITY NUMBER:
483007934
ADMINISTRATOR:MCMILLEN, MELISSAFACILITY TYPE:
840
ADDRESS:880 ALAMO DRIVETELEPHONE:
(707) 446-4222
CITY:VACAVILLESTATE: CAZIP CODE:
95688
CAPACITY:24CENSUS: 0DATE:
08/12/2021
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Melissa McMillenTIME COMPLETED:
12:35 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff do not follow Covid precautions
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Martinez conducted an unannounced complaint inspection and met with Director Melissa McMillen. It was alleged the facility staff do not follow COVID-19 precautions. During todays inspection LPA Martinez entered the facility at 11:46AM and asked the Director to walk around the facility. LPA observed 6 Staff who had masks on their face but were not being worn correctly. In cases when the LPA entered the classroom LPA observed one of the 6 staff who did not have a mask on at all. Based on the evidence obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated.

Notice of Site visit must be posted for 30 days.
Substantiated
Estimated Days of Completion: 90
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Mikah MartinezTELEPHONE: (530) 895-4014
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2021
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 2
Control Number 13-CC-20210802082955
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: KIDDIE ACADEMY - S/A
FACILITY NUMBER: 483007934
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/12/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/27/2021
Section Cited
CCR
101223(a)(1)
1
2
3
4
5
6
7
The licensee shall ensure that each child is accorded the following personal rights: To be accorded dignity in his/her personal relationships with staff and other persons. Based on observations during a tour of the facility; 6 of 7 staff were observed to be wearing their mask incorrectly below their nose or not at all. This is a potential health and safety risk to children in care.
1
2
3
4
5
6
7
Director will conduct a meeting and provide staff with training on wearing PPE appropriately during daycare hours. Director will submit meeting participation to include names of staff no later than 8/27/21.
8
9
10
11
12
13
14
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Mikah MartinezTELEPHONE: (530) 895-4014
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2