585407073-4-8-2022-13-CC-MAVS-CDGU6C-20220414151804

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 585407073
Report Date: 04/08/2022
Date Signed: 04/08/2022 10:10:01 AM

Substantiated

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
01/11/2022 and conducted by Evaluator Kirk Marks

PUBLIC

COMPLAINT CONTROL NUMBER: 13-CC-20220111140513

FACILITY NAME:	MARTINEZ, LAUREL FAMILY CHILD CARE HOME		FACILITY NUMBER:	585407073
ADMINISTRATOR:	MARTINEZ, LAUREL		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(916) 960-8343
CITY:	PLUMAS LAKE	STATE: CA	ZIP CODE:	95961
CAPACITY:	14	CENSUS: 8	DATE:	04/08/2022
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Licensee, Laurel Martinez		TIME COMPLETED:	10:15 AM

ALLEGATION(S):

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Facility is not following proper protocol for COVID-19

INVESTIGATION FINDINGS:

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On 4/08/2022 at 9:30am Licensing Program Analyst (LPA) Kirk Marks conducted a subsequent complaint investigation inspection to the family child care home for the purpose of delivering complaint findings. It was alleged that the facility is not taking any precautions for COVID-19 and is not practicing social distancing. It was also alleged that an adult at the facility had tested positive for COVID-19 and children were exposed.
On 1/20/2022 at 2:50pm LPA met with licensee, Laurel Martinez. Licensee stated that the adult in question did receive a positive COVID-19 test, but then took two tests afterwards and tested negative on both tests. Licensee stated the adult in question was never in the presence of any children in care during the time the adult was being tested or for days afterwards. At the time of the initial investigation LPA observed licensee and an assistant at the facility not wearing face coverings as mandated by the state of California. LPA conducted telephone interviews with three parents of children in care (P1, P2 and P3). All three parents were unable to say whether the adult in question was in the presence of children while having a positive COVID-19 test.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Kirk Marks	TELEPHONE: (530) 895-5045
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2022

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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Control Number 13-CC-20220111140513

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: 04/08/2022

NARRATIVE

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(continued from page 1)

The parents also did not know if the licensee or the assistant were wearing face coverings while caring for children.

Provider Information Notice (Pin) 21-29-CCP FACE COVERING REQUIREMENTS AND GUIDANCE FOR CHILD CARE PROVIDERS REGARDING CORONAVIRUS DISEASE 2019 (COVID-19) was discussed and a copy was provided during the inspection.

Although it cannot be determined that an adult with a positive COVID test was in the presence of children it was determined that the facility was not following proper protocol for COVID-19 as the adults caring for children were not wearing face coverings as required.

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.

SUPERVISOR'S NAME: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Kirk Marks	TELEPHONE: (530) 895-5045
LICENSING EVALUATOR SIGNATURE:	DATE: 04/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2022

LIC9099 (FAS) - (06/04)

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Control Number 13-CC-20220111140513

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: 04/08/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 04/08/2022 Section Cited CCR 102423(a)(2)	1 2 3 4 5 6 7	The licensee shall ensure that each child is accorded the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not be as evidenced by:	1 2 3 4 5 6 7	The facility staff are no longer required to wear face coverings as the mandates have been lifted at the time of findings being delivered. POC will be cleared at this time.
	8 9 10 11 12 13 14	Based on observations, the licensee did not ensure the personal rights of children in care in that licensee and one assistant did not wear face coverings while in the facility, as required by the Order of the State Public Health Officer (June 11, 2021). This is a potential health and safety risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Megan Aviles	TELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Kirk Marks	TELEPHONE: (530) 895-5045
LICENSING EVALUATOR SIGNATURE:	DATE: 04/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2022

LIC9099 (FAS) - (06/04)

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