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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 585405321
Report Date: 11/19/2021
Date Signed: 11/19/2021 11:10:05 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
07/21/2021 and conducted by Evaluator Kirk Marks
COMPLAINT CONTROL NUMBER: 13-CC-20210721150021
FACILITY NAME:FOSTER, TIA FAMILY CHILD CARE HOMEFACILITY NUMBER:
585405321
ADMINISTRATOR:FOSTER, TIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 741-9609
CITY:PLUMAS LAKESTATE: CAZIP CODE:
95961
CAPACITY:14CENSUS: DATE:
11/19/2021
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Licensee, Tia FosterTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Licensee is not providing adequate supervision.
INVESTIGATION FINDINGS:
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A follow-up unannounced complaint investigation inspection was made to the facility by Licensing Program Analyst (LPA) Kirk Marks on 11/19/2021 at 10:45am for the purpose of delivering complaint findings. It was alleged that there was not adequate supervision provided by licensee by not being in the front room of the home when picking up a child from care. Licensee was interviewed on 8/10/2021 at 12:10pm and licensee stated that either licensee or an assistant is immediately available when parents enter the home to pick up children. Licensee said that at the time in question she may have been in the hallway changing a child’s diaper but would have known a parent was there because the entry can be seen from the changing area. LPA conducted interviews with two assistants (S1 and S2) on 8/10/21. Neither assistant disclosed any information suggesting adequate supervision was not provided at the home.
(continued on page 2)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Kirk MarksTELEPHONE: (530) 895-5045
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 13-CC-20210721150021
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: FOSTER, TIA FAMILY CHILD CARE HOME
FACILITY NUMBER: 585405321
VISIT DATE: 11/19/2021
NARRATIVE
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(continued from page 1)

During the inspection and on a subsequent inspection on 9/15/2021 LPA observed licensee with two assistants at the home providing adequate supervision of children in care. LPA conducted telephone interviews with seven parents (P1 – P7) of children enrolled at the family child care home. None of the seven expressed concerns about the supervision of children and all seven said that licensee or an assistant was present and available upon arriving to pick up children. Through interviews and observations LPA cannot determine that adequate supervision was not being provided.
The agency has investigated the complaint alleging the licensee is not providing adequate supervision. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the allegation violation occurred, and the findings are unsubstantiated. An exit interview was conducted.
The Notice of Site Visit must be posted for 30 days.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Kirk MarksTELEPHONE: (530) 895-5045
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2