515405673-5-31-2019-13-CC-EVIA-BCVUQT-20190606154742

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

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 515405673
Report Date: 05/17/2019
Date Signed: 05/31/2019 11:00:56 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
02/20/2019 and conducted by Evaluator Mikah Martinez

PUBLIC

COMPLAINT CONTROL NUMBER: 13-CC-20190220163508

FACILITY NAME:	PUREWAL, RAJVINDER FAMILY CHILD CARE HOME		FACILITY NUMBER:	515405673
ADMINISTRATOR:	PUREWAL, RAJVINDER		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(530) 755-1122
CITY:	YUBA CITY	STATE: CA	ZIP CODE:	95993
CAPACITY:	14	CENSUS: 11	DATE:	05/17/2019
		UNANNOUNCED	TIME BEGAN:	09:05 AM
MET WITH:	Rajvinder Purewal		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Day care provider hit day care child.

INVESTIGATION FINDINGS:

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

Licensing Program Analyst (LPA) Martinez and Marks conducted an unannounced complaint visit and met with licensee Rajvinder Purewal. It was alleged the day care provider hit a day care child, specifically when the child refused to nap resulting in a lip injury. LPA Martinez conduced an initial visit on 3/1/19 to interview the licensee and S1. LPA also conducted interviews with children on 3/1/19. The licensee denied the allegation. The licensee stated she was changing a child when she observed C1 swinging a blanket around. The licensee stated she partially caught the blanket by the corner mid swing and told the child to stop swinging it. The licensee stated she did not have a grip on the blanket enough to pull it away thus when C1 pulled the blanket away from her she lost grip and let go. The licensee stated she never observed C1 become injured or bleed as she continued to change a child's diaper however the child C1 immediately laid over the blanket. The licensee did state C1 cried but assumed it was over being told to lay down as that was normal behavior for C1. The licensee stated S1 did take over the incident and spoke with C1, who did lay down for nap thereafter. S1 stated the child did not appear in pain and did not observe any bleeding at that time. S1 stated she did not observe the licensee place her hands on the

Unsubstantiated

Estimated Days of Completion: 90

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Mikah Martinez	TELEPHONE: (530) 895-4014
LICENSING EVALUATOR SIGNATURE:	DATE: 05/31/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2019

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-20190220163508

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: PUREWAL, RAJVINDER FAMILY CHILD CARE HOME	FACILITY NUMBER: 515405673
	VISIT DATE: 05/17/2019

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

child at anytime. Both the licensee and S1 stated after nap time C1 was at normal baseline and did not exhibit any pain or behaviors. The licensee stated upon pick up when the child showed the parent/guardian the lip injury the licensee had no idea when the child had obtained it. The licensee stated she assumed it happened when C1 pulled the blanket and fell over it but was unsure. The licensee stated that is what was explained to the parent/guardian at pick up. Interviews with C1 and C2 were conducted on 3/13/19 regarding the incident. It was at that time the parent/guardian explained there had been forensic interviews conducted on 3/11/19. C1 stated during my interview that the licensee had pushed C1 down then hit C1 in the mouth. C2 was unable to be interviewed. LPA Martinez did review documentation on 4/26/19 that indicated C1 pulled the blanket away from the licensees hand while demonstrating a motion back to C1's face. C1 stated in the documentation C1 slipped over their mat and bed and hurt their own lip. These statements corroborated the licensees initial statements. 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 findings are unsubstantiated. No citations were issued during today's visit.

Notice of site visit must be posted for 30 days.

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Mikah Martinez	TELEPHONE: (530) 895-4014
LICENSING EVALUATOR SIGNATURE:	DATE: 05/31/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2019

LIC9099 (FAS) - (06/04)

Page: 2 of 2