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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 585405321
Report Date: 11/19/2021
Date Signed: 11/30/2021 04:23:00 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
09/02/2021 and conducted by Evaluator Kirk Marks
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20210902154836
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:
11:30 AM
MET WITH:Licensee, Tia FosterTIME COMPLETED:
11:45 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee did not notify day care children's authorized representatives of someone testing positive for COVID
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
A follow-up unannounced complaint investigation inspection was made to the facility by Licensing Program Analyst (LPA) Kirk Marks on 11/19/2021 at 11:30am for the purpose of delivering complaint findings. It was alleged that licensee did not notify parents of children in care of an individual at the home testing positive for COVID-19. Licensee was interviewed on 9/15/2021 at 11:00am and licensee stated that parents were made aware of the individual testing positive. LPA conducted telephone interviews with seven parents (P1 – P7) of children enrolled at the family child care home. All seven parents stated they were informed by licensee of a COVID exposure or a positive test result. Through interviews conducted LPA was not able to determine that licensee failed to notify parents of a positive COVID-19 test of an individual at the home. The agency has investigated the complaint alleging parents were not properly notified of a positive COVID test. 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.
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: 11/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2021
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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