515406330-9-6-2019-13-CC-MAVS-BGTN6H-20191010101106

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 515406330
Report Date: 09/03/2019
Date Signed: 09/06/2019 03:03:50 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
08/26/2019 and conducted by Evaluator Laura Chavez

PUBLIC

COMPLAINT CONTROL NUMBER: 13-CC-20190826164432

FACILITY NAME:	ALVARADO, MARIA FAMILY CHILD CARE HOME		FACILITY NUMBER:	515406330
ADMINISTRATOR:	ALVARADO, MARIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(530) 673-2724
CITY:	YUBA CITY	STATE: CA	ZIP CODE:	95993
CAPACITY:	14	CENSUS: 12	DATE:	09/03/2019
		UNANNOUNCED	TIME BEGAN:	01:40 PM
MET WITH:	Maria Alvarado		TIME COMPLETED:	05:15 PM

ALLEGATION(S):

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Licensee failed to provide safe sleeping accommodations to a child in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Laura Chavez conducted an unannounced complaint visit, and met with licensee Maria Alvarado. It was alleged that the licensee failed to provide safe sleeping accommodations to a child in care. Upon arrival, LPA toured the home. LPA observed Infant #6 napping in an umbrella style stroller. The handle of the stroller was propped under an open bedroom dresser drawer which allowed the infant to lay back on the stroller. The licensee was interviewed at 2:00pm. The licensee denied the allegation and stated that children in care are provided with safe sleeping accommodations. The licensee said cribs and port-a-cribs are made available for napping infants. Older children are accommodated with the couch or beds. The licensee stated that the parent of the infant provided her with a written note giving her permission to nap the infant in the stroller. Interviews were conducted with the licensee, two assistants, and children. Assistant #1 admitted to allow sleeping infants to remain in car seats until they awake.

Based on the evidence obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, (Title 22), is being cited on the attached LIC 9099D. Appeal rights were provided and exit interview conducted. The Notice of Site Visit must be posted for 30 days. Report continued: See LIC 9099-C

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Laura Chavez	TELEPHONE: (530) 895-5914
LICENSING EVALUATOR SIGNATURE:	DATE: 09/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2019

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-20190826164432

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: ALVARADO, MARIA FAMILY CHILD CARE HOME	FACILITY NUMBER: 515406330
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/03/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 09/04/2019 Section Cited CCR 102423(a)(2)	1 2 3 4 5 6 7	Personal Rights. Each child shall be accorded safe, healthful and comfortable accommodations, furnishing and equipment. This requirement was not met as evidenced by: LPA observing Infant #6 napping in an umbrella style stroller.	1 2 3 4 5 6 7	Licensee agrees to provide a written statement on how she will ensure each child will be accorded safe sleeping accommodations. The written statement shall include training(s) the licensee will take to better assist her with providing safe sleep accommodations for children of all ages.
	8 9 10 11 12 13 14		8 9 10 11 12 13 14	The plan of correction (POC) shall include a written statement on how the licensee will apply information provided in training(s). The POC shall be submitted to CCLD on or before 9/4/2019. Prior approval from the Department shall be obtained prior to taking training(s).
	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: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Laura Chavez	TELEPHONE: (530) 895-5914
LICENSING EVALUATOR SIGNATURE:	DATE: 09/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2019

LIC9099 (FAS) - (06/04)

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Control Number 13-CC-20190826164432

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: ALVARADO, MARIA FAMILY CHILD CARE HOME	FACILITY NUMBER: 515406330
	VISIT DATE: 09/03/2019

NARRATIVE

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The following Type A violation of the California Code of Regulations, Title 22; Division 12, was cited: see LIC9099D. Reports citing Type A violations are to be provided to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must sign Form LIC9224. Form LIC9224 to be kept in each child's file. LIC 9224 was provided and discussed with the Licensee.

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Laura Chavez	TELEPHONE: (530) 895-5914
LICENSING EVALUATOR SIGNATURE:	DATE: 09/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2019

LIC9099 (FAS) - (06/04)

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