573622056-9-24-2019-53-CC-SOGO-BGDVHV-20190926162742

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 573622056
Report Date: 09/24/2019
Date Signed: 09/24/2019 02:22:31 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/28/2019 and conducted by Evaluator Chayntel Hunter

PUBLIC

COMPLAINT CONTROL NUMBER: 53-CC-20190628160651

FACILITY NAME:	ESCAMILLA, DONITA		FACILITY NUMBER:	573622056
ADMINISTRATOR:	ESCAMILLA, DONITA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(530) 921-6498
CITY:	WOODLAND	STATE: CA	ZIP CODE:	95695
CAPACITY:	14	CENSUS: 5	DATE:	09/24/2019
		UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Licensee Donita Escamilla		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Licensee made inappropriate comments towards day care children
Licensee is absent for more than 20% of hours providing care.

INVESTIGATION FINDINGS:

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

Licensing Program Analysts (LPAs) Chayntel Hunter and Christopher Jackson met with Licensee Donita Escamilla on 09/24/19 to deliver complaint findings for the above allegations. During the course of the investigation, LPA Morillas conducted interviews, and obtained information pertaining to allegations. It was alleged that licensee made inappropriate comments toward C1 and that licensee is absent for more than 20% of operating hours while providing care. During the course of the investigation, LPAs learned that although the provider might engage in outside activities, the licensee is present for more than 80% of the operating hours. Regarding the licensee made inappropriate comments toward day care children. LPAs learned that although the licensee admitted to using inappropriate language at times in the facility. LPAs could not substantiate that the licensee expressed the language towards the children in care. Although the above listed allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. The Notice of site visit was posted, and Appeal rights were provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Sharon Ogbodo	TELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Chayntel Hunter	TELEPHONE: (916) 917-8620
LICENSING EVALUATOR SIGNATURE:	DATE: 09/24/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2019

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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