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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073405971
Report Date: 07/09/2024
Date Signed: 07/09/2024 10:22:03 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/08/2024 and conducted by Evaluator Brittany Crass
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20240708131609
FACILITY NAME:COUTEE, BETTYFACILITY NUMBER:
073405971
ADMINISTRATOR:COUTEE, BETTYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 860-3261
CITY:RICHMONDSTATE: CAZIP CODE:
94801
CAPACITY:14CENSUS: 9DATE:
07/09/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Betty CouteeTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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A child was bit by the Licensee's dog
INVESTIGATION FINDINGS:
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On 7/9/24 at 9AM Licensing Program Analyst (LPA) Brittany Crass conducted an unannounced complaint investigation and met with Licensee Betty Coutee to discuss the above allegation.The allegation is that the licensees' dog bit a child in care. Licensee stated that the child put his hand under the fence and was bit. The licensee understands that the dog must be inaccessible to children in care.

Based on LPA interviews and observation, the preponderance of evidence standard has been met.

Therefore the above allegation is found to be SUBSTANTIATED.

An exit interview was conducted with Betty Coutee, appeal rights were given, and a copy of this report was provided to the licensee.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Brittany Crass
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2024
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 02-CC-20240708131609
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: COUTEE, BETTY
FACILITY NUMBER: 073405971
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/09/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/16/2024
Section Cited
CCR
102423(a)(2)
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(a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following:
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By 7/16/24, the licensee will add a second gate to create a barrier between the dog and the children. The licensee will email LPA a photo of the second gate added.
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(2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

Based on observation and interview, licensee did not comply with the above allegation, by having a dog accessible to children and that bit a child, which poses a potential risk to the Health, Safety and Personal Rights of children in care.
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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: Monica Mathur
LICENSING EVALUATOR NAME: Brittany Crass
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2024
LIC9099 (FAS) - (06/04)
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