515407689-1-8-2021-13-CC-JMOH-BX728F-20210111161015

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 515407689
Report Date: 01/07/2021
Date Signed: 01/08/2021 11:25:41 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
09/15/2020 and conducted by Evaluator Mikah Martinez

PUBLIC

COMPLAINT CONTROL NUMBER: 13-CC-20200915144350

FACILITY NAME:	KAUR, RAJWINDER FAMILY CHILD CARE HOME		FACILITY NUMBER:	515407689
ADMINISTRATOR:	KAUR, RAJWINDER		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(530) 441-9466
CITY:	YUBA CITY	STATE: CA	ZIP CODE:	95993
CAPACITY:	14	CENSUS: 2	DATE:	01/07/2021
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Rajwinder Kaur		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Personal Rights

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Martinez conducted an unannounced complaint tele-visit and met with Rajwinder Kaur, Licensee. The facility inspection was conducted via tele-inspection due to the current state of emergency regarding the COVID-19 outbreak. It was alleged Children were sexually abused while in care, specifically that C1 was sexually abused by an unknown individual only identified as "Bubble Buddy". The licensee denied the allegation and stated she had not seen anyone touch the child inappropriately or heard any individual referred to as "Bubble Buddy." This allegation was investigated by the Department’s Investigation Bureau (IB), by Investigator Sonia Boyal. The IB report states that the licensee and witnesses were interviewed by IB Investigator on 9/16/20, 9/21/20, 9/23/20, 10/2/20, 10/22/20, and 10/26/20. Interviews with witnesses indicated that no such behavior had been observed and there had not been an individual identified as "Bubble Buddy." A medical report from C1’s test results were obtained and reviewed with no evidence of the allegation found. 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. Notice of site visit must be posted for 30 day's from today's visit.

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: 01/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2021

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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