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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 585407073
Report Date: 11/22/2019
Date Signed: 11/22/2019 12:10:52 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
10/11/2019 and conducted by Evaluator Emilia Grisak
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20191011155415
FACILITY NAME:MARTINEZ, LAUREL FAMILY CHILD CARE HOMEFACILITY NUMBER:
585407073
ADMINISTRATOR:MARTINEZ, LAURELFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 960-8343
CITY:PLUMAS LAKESTATE: CAZIP CODE:
95961
CAPACITY:14CENSUS: 5DATE:
11/22/2019
UNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Laurel MartinezTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Licensee forced child to lay on nap pad for entire nap period
Licensee caused an injury to a child in care
INVESTIGATION FINDINGS:
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A follow-up unannounced complaint inspection was made to the facility by LPAs Emilia Grisak and Mikah Martinez. LPAs met with licensee Laurel Martinez at 11:30am. This agency investigated a complaint alleging that licensee forced child to lay on nap pad for entire nap period and licensee caused an injury to a child in care, specifically that the licensee dragged a child’s nap mat causing an injury to the child’s chin.

Licensee forced a child to lay on nap pad for entire nap period.
The licensee was interviewed on 10/16/19 at 11:45am and 1:15pm regarding the allegation. The licensee stated that the children go down for their nap between 12:30pm - 1:00pm and must lay on their mats until 3pm, and that quiet activities are not provided during nap time. During the investigation, interviews with two staff, three children, and three parents were conducted on 10/16/19 and 11/12/19. It was stated by staff that children are trained to stay on their nap mat even if they are awake. It was also stated by staff that children know they must lay there quietly for the entire nap period. It was stated by parents that children must lay down for the entire nap period whether they are asleep or not.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Emilia GrisakTELEPHONE: (530) 895-5821
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2019
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 7
Control Number 13-CC-20191011155415
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: MARTINEZ, LAUREL FAMILY CHILD CARE HOME
FACILITY NUMBER: 585407073
VISIT DATE: 11/22/2019
NARRATIVE
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It was also stated by 2 of 3 parents that children have reported having a blanket put over their face by the teacher if they don’t sleep. Based on the evidence obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, (Title 22), is being cited on the attached LIC 9099D. Appeal rights were provided and exit interview conducted. The Notice of Site Visit must be posted for 30 days.

Licensee caused an injury to a child in care
The licensee was interviewed on 10/16/19 at 11:45am and 1:15pm regarding the allegation. The licensee stated that child #1 (C1) was playing with the cubbies and pulling them out during nap time so the licensee grabbed C1’s mat and pulled the mat about 5 feet while C1 was laying on the mat. It was stated by the licensee that a red mark was noticed on C1’s chin after nap time that had not been observed before nap time. During the investigation LPA obtained photographs of the injury to C1’s chin which supports the allegation. LPA observed that the injury on C1’s chin appeared to be a skin abrasion on the underside of the chin and there were two small scabs observed as well. During the investigation, interviews with two staff, three children, and three parents were conducted on 10/16/19 and 11/12/19. It was stated by staff that if a child is causing a disruption during nap time they would put them in another spot in the living room. Based on the evidence obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, (Title 22), is being cited on the attached LIC 9099D. Appeal rights were provided and exit interview conducted. The Notice of Site Visit must be posted for 30 days. LIC 9224 was provided and discussed with the Licensee.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Emilia GrisakTELEPHONE: (530) 895-5821
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 13-CC-20191011155415
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: MARTINEZ, LAUREL FAMILY CHILD CARE HOME
FACILITY NUMBER: 585407073
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/22/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/25/2019
Section Cited
CCR
102423(a)(4)
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102423 Personal Rights (a)(4) Each child receiving services from a family child care home shall have certain rights. These rights include, but are not limited to, the following: To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning.
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The licensee agrees to require personal rights training for all staff, utilizing video training provided online from CCL. Documentation of training for all staff with a written statement from licensee regarding what was learned in the training will be submitted to CCL
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This requirement is not met as evidenced by: Based on photos obtained and interviews the licensee failed to ensure that child was free from injury and intimidation when licensee dragged child’s nap mat resulting in injury which poses an immediate health and safety risk to children in care.
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in order to clear the plan of correction. Licensee to submit signatures of all staff who received training. Videos can be found at ccld.childcarevideos.org
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Emilia GrisakTELEPHONE: (530) 895-5821
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 7
Control Number 13-CC-20191011155415
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: MARTINEZ, LAUREL FAMILY CHILD CARE HOME
FACILITY NUMBER: 585407073
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/22/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/29/2019
Section Cited
CCR
102423(a)(1)
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102423(a)(1) Personal Rights
Each child receiving services from a family child care home shall have certain rights. These rights include, but are not limited to, the following: To be treated with dignity in his/her personal relationship with staff and other persons.
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The licensee agrees to require personal rights training for all staff, utilizing video training provided online from CCL. Documentation of training for all staff with a written statement from licensee regarding what was learned in the training will be submitted to CCL
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This requirement is not as evidenced by: Based on interviews the licensee failed to ensure children’s personal rights were being met by not providing activities to children unable to nap and forcing children to lay on nap pad for entire nap period which poses a potential health, safety, and/or personal rights risk to children in care.
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in order to clear the plan of correction. Licensee to submit signatures of all staff who received training. Videos can be found at ccld.childcarevideos.org
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Emilia GrisakTELEPHONE: (530) 895-5821
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2019
LIC9099 (FAS) - (06/04)
Page: 4 of 7
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
10/11/2019 and conducted by Evaluator Emilia Grisak
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20191011155415

FACILITY NAME:MARTINEZ, LAUREL FAMILY CHILD CARE HOMEFACILITY NUMBER:
585407073
ADMINISTRATOR:MARTINEZ, LAURELFACILITY TYPE:
810
ADDRESS:1405 ROARING CAMP CT.TELEPHONE:
(916) 960-8343
CITY:PLUMAS LAKESTATE: CAZIP CODE:
95961
CAPACITY:14CENSUS: 5DATE:
11/22/2019
UNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Laurel MartinezTIME COMPLETED:
12:15 PM
ALLEGATION(S):
1
2
3
4
5
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9
Licensee interfered with child's toileting
Licensee shut a child in a room for punishment
Licensee handled child in a rough manner
INVESTIGATION FINDINGS:
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A follow-up unannounced complaint inspection was made to the facility by LPAs Emilia Grisak and Mikah Martinez. LPAs met with licensee Laurel Martinez at 11:30am. This agency investigated a complaint alleging that licensee interfered with child's toileting, licensee shut a child in a room for punishment, specifically that a child was placed in the laundry room with the door shut, and licensee handled child in a rough manner, specifically that the licensee grabbed a child.

Licensee interfered with child's toileting
The licensee was interviewed on 10/16/19 at 11:45am and 1:15pm regarding the allegation. The licensee stated that she would not interfere with a child’s toileting. The licensee stated that she wants to allow children to use the bathroom as needed and would not prevent a child from using the bathroom. During the investigation, interviews with two staff, three children, and three parents were conducted on 10/16/19 and 11/12/19. It was stated by staff that children are always allowed to use the restroom and would not be prevented from using the bathroom if needed.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Emilia GrisakTELEPHONE: (530) 895-5821
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 5 of 7
Control Number 13-CC-20191011155415
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: MARTINEZ, LAUREL FAMILY CHILD CARE HOME
FACILITY NUMBER: 585407073
VISIT DATE: 11/22/2019
NARRATIVE
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 It was stated by children that if they have to use the bathroom they tell a teacher and go. It was not stated by children that they have ever been prevented from using the bathroom. It was stated during parent interviews that children use the bathroom as needed and parents were not aware of their child ever being prevented from using the bathroom. 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. An exit interview was conducted. The Notice of Site Visit must be posted for 30 days.


Licensee shut a child in a room for punishment
The licensee was interviewed on 10/16/19 at 11:45am and 1:15pm regarding the allegation. The licensee stated that there was an incident when she moved child #1 (C1) to the hallway near the laundry room because she was causing a disruption to napping children but denied that the child was ever shut in the laundry room. It was stated by the licensee that the litter box is in the laundry room and that room is off limits to children in care. During the investigation, interviews with two staff, three children, and three parents were conducted on 10/16/19 and 11/12/19. It was stated by staff that a child was moved to hallway near laundry room but staff denied that they have ever seen a child moved inside laundry room. It was stated by staff that when a child is moved to the hallway a staff would sit with them. It was stated by children that they are not allowed in the laundry room. It was stated during parent interviews that children have never mentioned being shut in a room for punishment. 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. An exit interview was conducted. The Notice of Site Visit must be posted for 30 days.


SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Emilia GrisakTELEPHONE: (530) 895-5821
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2019
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 13-CC-20191011155415
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: MARTINEZ, LAUREL FAMILY CHILD CARE HOME
FACILITY NUMBER: 585407073
VISIT DATE: 11/22/2019
NARRATIVE
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Licensee handled child in a rough manner
The licensee was interviewed on 10/16/19 at 11:45am and 1:15pm and denied the allegation. During the investigation, interviews with two staff, three children, and three parents were conducted on 10/16/19 and 11/12/19. It was stated by staff that they have never observed a teacher grabbing a child or handling them in a rough manner. It was stated in interviews with children and parents that although the teacher has grabbed them it could not be specified that it was in a rough manner. 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. An exit interview was conducted. The Notice of Site Visit must be posted for 30 days.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Emilia GrisakTELEPHONE: (530) 895-5821
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2019
LIC9099 (FAS) - (06/04)
Page: 7 of 7