<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 115407989
Report Date: 01/22/2024
Date Signed: 04/19/2024 02:49:39 PM

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
01/17/2024 and conducted by Evaluator Bianca Mendez
COMPLAINT CONTROL NUMBER: 13-CC-20240117143319
FACILITY NAME:CORONA, AMELIA FAMILY CHILD CARE HOMEFACILITY NUMBER:
115407989
ADMINISTRATOR:CORONA, AMELIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 717-0077
CITY:ORLANDSTATE: CAZIP CODE:
95963
CAPACITY:14CENSUS: 3DATE:
01/22/2024
UNANNOUNCEDTIME BEGAN:
08:47 AM
MET WITH:Amelia CoronaTIME COMPLETED:
11:18 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee left minor alone to care for children in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 1/24/24 at 10:11am , Licensing Program Analyst (LPA) Mendez and LPA Friese conducted an unannounced complaint inspection, and met with licensee. It was alleged that Licensee left minor alone to care for children in care.

The licensee was interviewed at 8:47 am and denied the following allegation and stated that they are present for children in care and has never left a minor to supervise children in care. Licensee stated that they are present in the home when children are in care.

During today’s inspection facility was toured, 5 children's files were reviewed.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2024
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 5
Control Number 13-CC-20240117143319
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: CORONA, AMELIA FAMILY CHILD CARE HOME
FACILITY NUMBER: 115407989
VISIT DATE: 01/22/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
On 1/22/24 at 4:13pm, LPAs attempted to conducted a unnanounced complaint inspection LPA observed one child in care (C1) and was under the care and supervision of a minor (M1). Licensee was not present in the home. M1 stated that C1 was a family relative. LPA Mendez confirmed through record reviews and witness interviews that C1 was not a family relative and confirmed that C1 was under M1's supervision.
LPA Mendez observed 3 children in care and obtained copy of children's roster.


LPA interviewed Witness (W1-W4) on 1/18/24, 1/22/24 and on 1/23/24. LPA addressed the following allegations. 2 of 4 witnesses stated that licensee left minor M1 to care for children when licensee was not present. 1 of 4 witnesses stated that licensee is sometimes there and there are times when licensee is not present and has a adult there to watch children.

LPA interviewed children C2-C3 on 1/18/24. C2 and C3 stated that the licensee was outside of the home and the two days they attended they were under the care of minor (M1).

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.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 13-CC-20240117143319
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: CORONA, AMELIA FAMILY CHILD CARE HOME
FACILITY NUMBER: 115407989
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/24/2024
Section Cited
HSC
1597.58(C)(2)
1
2
3
4
5
6
7
(c) The department shall assess an immediate civil penalty of five hundred dollars ($500) per violation and one hundred dollars ($100) for each day the violation continues after citation, for any of the following serious violations:

(2) Absence of supervision, including, but not limited to, a child left unattended and a child left alone with a person under 18 years of age.
1
2
3
4
5
6
7
The Licensee agrees to send in a written plan and will be present at all times.All parents should have a signed LIC 9224 in children's file for new and currently enrolled children.
A written plan will be submitted by 1/25/24 at 5pm to LPA Mendez
8
9
10
11
12
13
14
This requirement is not met as evidenced by: based on observations and interviews, the the licensee did not meet the requirement, LPA observed C1 and were left under the supervision of a minor (M1).This poses a immediate (type A) health and safety risk to the 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.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5