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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 574500146
Report Date: 08/18/2022
Date Signed: 08/18/2022 12:34:44 PM

Unsubstantiated


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
08/09/2022 and conducted by Evaluator Chayntel Hunter
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20220809134930
FACILITY NAME:BALDWIN, MICHELLEFACILITY NUMBER:
574500146
ADMINISTRATOR:BALDWIN, MICHELLEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 383-8664
CITY:WOODLANDSTATE: CAZIP CODE:
95695
CAPACITY:14CENSUS: DATE:
08/18/2022
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Michelle BaldwinTIME COMPLETED:
12:40 PM
ALLEGATION(S):
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Licensee gave a child non-prescribed medication
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Chayntel Hunter met with Licensee, Michelle Baldwin to deliver the findings of the complaint investigation regarding the above allegation. During the course of the investigation, LPA Hunter conducted interviews, and obtained information pertaining to the allegation. It was alleged that the licensee gave a child non prescribed medication, in the form of fruit snacks. Although there is a child enrolled that takes prescription medication that resembled fruit snacks, LPA was not able to determine that other children were being given prescription medications. Interviews determined that fruit snacks are provided to other children as a form of snack, and that there may have been a misunderstanding regarding the prescription medication administered to the daycare child. Based on the information obtained throughout the course of this investigation the above allegations could not be substantiated or dismissed. Although the allegation 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 finding is UNSUBSTANTIATED. Exit interview was conducted. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Justin L DentonTELEPHONE: (916) -92-0269
LICENSING EVALUATOR NAME: Chayntel HunterTELEPHONE: (916) 917-8620
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2022
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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