483008302-12-7-2021-13-CC-MAVS-C9JUMS-20211209144248

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 483008302
Report Date: 12/07/2021
Date Signed: 12/07/2021 01:02:40 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
08/30/2021 and conducted by Evaluator Kirk Marks

PUBLIC

COMPLAINT CONTROL NUMBER: 13-CC-20210830113051

FACILITY NAME:	CORRAL, AMBER FAMILY CHILD CARE HOME		FACILITY NUMBER:	483008302
ADMINISTRATOR:	CORRAL, AMBER		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(707) 320-2588
CITY:	VACAVILLE	STATE: CA	ZIP CODE:	95687
CAPACITY:	14	CENSUS:	DATE:	12/07/2021
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Licensee, Amber Corral		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Licensee did not provide adequate supervision to children in care
Licensee did not inform parent of child's incident

INVESTIGATION FINDINGS:

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On 12/07/2021 at 12:00pm Licensing Program Analyst (LPA) Kirk Marks conducted a subsequent complaint investigation inspection to the facility and met with licensee, Amber Corral, for the purpose of delivering complaint findings. It was alleged that children in care at the family child care home were mistreated by other children as a result of inadequate supervision. It was alleged that one child (C1) was forced to eat dirt by other children and that another child (C2) was held down in the pool. It was also alleged that these incidents were not reported to the children’s authorized representative. On 9/03/2021 at 1:00 LPA met with and conducted an interview with licensee regarding the allegations. Licensee denied the incidents that were alleged ever occurred or could have happened. LPA conducted an interview with the licensee’s assistant on 9/03/2021 who was present at times when C1 and C2 were in care. The assistant did not witness or have any knowledge of the incidents that were alleged happening at the home.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Kirk Marks	TELEPHONE: (530) 895-5045
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2021

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-20210830113051

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: CORRAL, AMBER FAMILY CHILD CARE HOME	FACILITY NUMBER: 483008302
	VISIT DATE: 12/07/2021

NARRATIVE

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(continued from page 1)

On 9/03/2021 LPA conducted interviews with four children (C3-C6) who were all in care at the same time as C1 and C2. None of the children interviewed witnessed or knew of the alleged incidents happening. All children were consistent in their statements regarding children’s activities and behavior at the home. One parent (P1) was interviewed by LPA on 9/03/2021 who was at the family child care home often and knew C1 and C2. P1 did not know of the alleged incidents happening and statements were consistent with others interviewed regarding behavior and activities at the home. P1 stated not having any concerns about the level of supervision by licensee or assistants at the home. On 11/18/2021 LPA conducted telephone interviews with C1 and C2. Both children stated the alleged incidents happened, and each said they witnessed what happened to the other. The children's authorized representative did not make contact with licensee at any time while the children were in care regarding these alleged incidents occurring or with any other concerns at the family child care home. Through all interviews conducted LPA was not able to determine that the alleged incidents occurred through a lack of supervision and that the authorized representative needed to be notified. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the allegation violations occurred, and the findings are unsubstantiated. An exit interview was conducted.
The Notice of Site Visit must be posted for 30 days.

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Kirk Marks	TELEPHONE: (530) 895-5045
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2021

LIC9099 (FAS) - (06/04)

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