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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 515407689
Report Date: 02/18/2021
Date Signed: 02/18/2021 12:39:19 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
09/28/2020 and conducted by Evaluator Bianca Mendez
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20200928132458
FACILITY NAME:KAUR, RAJWINDER FAMILY CHILD CARE HOMEFACILITY NUMBER:
515407689
ADMINISTRATOR:KAUR, RAJWINDERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 441-9466
CITY:YUBA CITYSTATE: CAZIP CODE:
95993
CAPACITY:14CENSUS: 0DATE:
02/18/2021
UNANNOUNCEDTIME BEGAN:
11:02 AM
MET WITH:Rajwinder KaurTIME COMPLETED:
11:15 AM
ALLEGATION(S):
1
2
3
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9
Child sustained injury while in care.
Licensee left day care child in soiled clothing for extended amount of time.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 2/18/21 Licensing Program Analyst LPA Mendez conducted a follow up complaint investigation meeting with Rajwinder Kaur (licensee) to discuss report tele-inspection due to the current state of emergency regarding Covid-19 out break.
Licensee was interviewed 10/6/20 at 2:05pm. It was alleged that a child sustained injuries while in care and that the licensee left the day care child is soiled clothing for an extended amount of time. The licensee denied the allegation previously with LPA Martinez. Licensee provided documentation for children’s parent guardian contact. LPA Mendez contacted several parents for interviews and during interviews there was no preponderance of evidence to the allegation.
Based on evidence LPA obtained per above 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 so the findings are unsubstantiated.
Notice of Site Visit must be posted for 30 days
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Bianca MendezTELEPHONE: (530) 895-4357
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2021
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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