525407520-5-11-2022-13-CC-MAVS-CELPM9-20220520112556

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 525407520
Report Date: 05/11/2022
Date Signed: 05/11/2022 10:07:50 AM

Unsubstantiated

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
04/25/2022 and conducted by Evaluator Carrie Wisehart

COMPLAINT CONTROL NUMBER: 13-CC-20220425095210

FACILITY NAME:	MEDINA, ELIZABETH FAMILY CHILD CARE HOME		FACILITY NUMBER:	525407520
ADMINISTRATOR:	MEDINA, ELIZABETH		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(530) 209-1384
CITY:	CORNING	STATE: CA	ZIP CODE:	96021
CAPACITY:	14	CENSUS: 5	DATE:	05/11/2022
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Elizabeth Medina		TIME COMPLETED:	09:05 AM

ALLEGATION(S):

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Lack of supervision resulting in physical altercations between day care children

INVESTIGATION FINDINGS:

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On 5/11/22, Licensing Program Analyst (LPA) Carrie Wisehart conducted a subsequent complaint investigation inspection to the facility for the purpose of delivering complaint findings. It was alleged that a lack of supervision resulting in physical altercations between day care children.

The licensee was interviewed on 4/29/22 and 5/6/22 and stated that she and an aid are always present and provide supervision. The license did acknowledge there has been some fighting; pushing and toy taking primarily among siblings but she or her assistant would witness the incident and intervene.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Carrie Wisehart	TELEPHONE: (530) 895-5824
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2022

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-20220425095210

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: MEDINA, ELIZABETH FAMILY CHILD CARE HOME	FACILITY NUMBER: 525407520
	VISIT DATE: 05/11/2022

NARRATIVE

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Interviews on 5/2/22 with 1 out of 1 staff, indicated that she never witnessed anyone getting bruised or hurt at the day care. The staff stated every time you turned around a group of siblings were fighting but staff were always present, intervening and supervising them. Interviews on 5/2/22 with 3 out of 3 children indicated that staff were always present and that no fighting has been observed. Interviews on 5/4/22 and 5/6/22 with 7 out of 7 witnesses indicated that the siblings involved in the alterations have a prior history of being physical while under supervision. None of the witnesses expressed concerns with the licensee and lack of supervision being provided, other then witness 7 who indicated that the licensee or staff were only present for some of the incidents.

The LPA has determined that though some altercations have occurred between children in care, the staff is generally, present and intervening, however, the LPA could not rule out that there may have been a time when the licensee or assistant may have been focused on addressing another issue and did not intervene for every incident.

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.

A Notice of Site Visit shall be posted for 30 days.

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Carrie Wisehart	TELEPHONE: (530) 895-5824
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2022

LIC9099 (FAS) - (06/04)

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