045406198-1-23-2025-13-CC-EVIA-DDCP75-20250128100318

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 045406198
Report Date: 01/23/2025
Date Signed: 01/23/2025 03:41:06 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO CC RO, 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
11/04/2024 and conducted by Evaluator Tammy Dutra

COMPLAINT CONTROL NUMBER: 13-CC-20241104092348

FACILITY NAME:	KIDSPARK		FACILITY NUMBER:	045406198
ADMINISTRATOR:	KAWAOKA D./STRONG L.		FACILITY TYPE:	840
ADDRESS:	2477 FOREST AVE., STE. 190		TELEPHONE:	(530) 895-6800
CITY:	CHICO	STATE: CA	ZIP CODE:	95928
CAPACITY:	20	CENSUS: 10	DATE:	01/23/2025
		UNANNOUNCED	TIME BEGAN:	02:02 PM
MET WITH:	Rubimaria Beck		TIME COMPLETED:	02:25 PM

ALLEGATION(S):

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Parent was not notified of a child's serious injury

INVESTIGATION FINDINGS:

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On 1/23/25 at 2:02pm, Licensing Program Analyst (LPA) Tammy Dutra and Bianca Mendez conducted an unannounced complaint inspection and met with facility representative Rubimaria Beck. It was alleged that parent was not notified of a child’s serious injury.

The licensee was interviewed on 11/13/24 at 4:26pm and stated she was informed there was a child (C1) who sustained an injury in care. Licensee stated her staff applied first aid after C1 reported the injury.

Licensee stated her staff asked C1 multiple times if they wanted to call their parent. Licensee stated that after the initial icing of the injury, C1 began to play and use the injured foot. Licensee shared that based on the behavior of the child, staff determined the injury was minor and did not inform the parent of the incident until the end of the day.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Tammy Dutra
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2025

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-20241104092348

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO CC RO, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: KIDSPARK	FACILITY NUMBER: 045406198
	VISIT DATE: 01/23/2025

NARRATIVE

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Three staff were interviewed on 1/17/25. Two staff members were present during the incident and indicated C1 fell and tripped on the “mountain” steps and rolled their ankle. C1 was initially limping and was offered ice to prevent swelling. Both staff members present reported C1 began walking after icing the foot. All staff indicated C1 was using both legs throughout the day and did not seem injured. S3 indicated C1 would occasionally hop on uninjured foot and S3 asked multiple times if C1 wanted to contact their parent. S3 stated C1 repeatedly indicated they did not want their parent to be notified of the incident. S3 notified parent upon pick up that an accident occurred.

One child (C1) was interviewed on 11/18/24 and stated there were approximately 20 children and two staff present during the incident. C1 stated that one staff member was preparing a meal, and the other was on their phone when the accident occurred. C1 said another child pushed them into the wall causing them to stub their toe. C1 stated initially they could walk and move the toe after the injury occurred. C1 indicated that they could still walk and requested the staff did not call their parent. C1 stated the injury became more painful later in the day and required medical attention the following day.

Records were obtained indicating C1 was seen by a physician on 11/3/24. Results indicated possible fracture to the 4th or 5th toe. C1 was referred to an orthopedic physician.

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.

During today’s inspection, the facility was toured, and LPA observed 3 staff and 10 children present. Facility was operating within licensing capacity and ratio requirements. No Title 22 violations were observed on today’s visit.

Exit interview conducted and report was reviewed with the facility representative Rubimaria Beck. Appeal rights were provided.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Tammy Dutra
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2025

LIC9099 (FAS) - (06/04)

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