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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 045407355
Report Date: 06/21/2022
Date Signed: 06/21/2022 11:12:38 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
05/17/2022 and conducted by Evaluator Kirk Marks
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20220517153956
FACILITY NAME:NOAH'S ARK AT CALVARY CHAPEL CHICO - PRESCHOOLFACILITY NUMBER:
045407355
ADMINISTRATOR:JACKSON, LISAFACILITY TYPE:
850
ADDRESS:1888 SPRINGFIELD DRIVETELEPHONE:
(530) 487-0776
CITY:CHICOSTATE: CAZIP CODE:
95928
CAPACITY:30CENSUS: DATE:
06/21/2022
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Director, Lisa JacksonTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Staff handles daycare children roughly
Staff speaks inappropriately to daycare children
INVESTIGATION FINDINGS:
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On 6/21/2022 at 10:30am Licensing Program Analyst (LPA) Kirk Marks conducted a subsequent complaint investigation inspection to the facility for the purpose of delivering complaint findings. It was alleged that a staff member (S1) would handle children in a rough manner and speak inappropriately towards children when dealing with them at the facility. LPA initiated the complaint investigation at the facility on 5/19/2022 and met with the administrative assistant (S2). On 6/01/2022 LPA conducted a follow up inspection and met with facility director, Lisa Jackson. The director stated she was not made aware of any of the actions presented in the allegations. LPA conducted interviews with S1 and four other staff members (S3, S4, S5 and S6). Two of those staff members stated witnessing S1 being aggressive in how S1 handled children and would speak to children in a harsh tone at times. Another staff stated believing that somebody from the outside might think that S1 was being too rough in handling children.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Kirk Marks
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2022
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 3
Control Number 13-CC-20220517153956
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: NOAH'S ARK AT CALVARY CHAPEL CHICO - PRESCHOOL
FACILITY NUMBER: 045407355
VISIT DATE: 06/21/2022
NARRATIVE
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(Continued from page 1)

LPA viewed available surveillance video from the approximate time frame of when the allegations were made. The surveillance video showed S1 walking with children to the playground. LPA observed S1 grab hold of children by the arm and pull the children to a different position on four different occasions. Based on the interviews and observations, the preponderance of evidence standard has been met, therefore the above allegations are 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 was conducted.
The notice of site visit must be posted for 30 days.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Kirk Marks
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 13-CC-20220517153956
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: NOAH'S ARK AT CALVARY CHAPEL CHICO - PRESCHOOL
FACILITY NUMBER: 045407355
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/21/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/13/2022
Section Cited
CCR
101223(a)(1)
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Personal Rights. The licensee shall ensure that each child is accorded certain personal rights, including the right to be accorded dignity in his/her personal relationships with staff and other persons.
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The facility Director agrees to at minimum provide written discipline for S1 addressing the behaviors and plan to correct the actions. The discipline may also include termination.
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This requirement is not met as evidenced by: Based on interviews and observations staff member S1 would handle children in a rough manner and speak in a harsh tone towards the children.
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 The entire staff will be retrained regarding children's personal rights which will include video training from Community Care Licensing web site. Director will provide evidence of completion of correction plan by 7/13/2022.
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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.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Kirk Marks
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3