455407903-7-14-2022-13-CC-EVIA-CGWLSM-20220802090054

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 455407903
Report Date: 07/12/2022
Date Signed: 07/14/2022 12:27:33 PM

Unsubstantiated

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
05/31/2022 and conducted by Evaluator Jaime Snow

PUBLIC

COMPLAINT CONTROL NUMBER: 13-CC-20220531161429

FACILITY NAME:	LACKEY, CHEYENNE FAMILY CHILD CARE HOME		FACILITY NUMBER:	455407903
ADMINISTRATOR:	LACKEY, CHEYENNE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(530) 768-6397
CITY:	REDDING	STATE: CA	ZIP CODE:	96002
CAPACITY:	14	CENSUS: 12	DATE:	07/12/2022
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Cheyenne Lackey		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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A child’s authorized representative was not informed if a minor injury

INVESTIGATION FINDINGS:

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On July 12, 2022 at noon, Licensing Program Analyst (LPA) Snow conducted an unannounced complaint inspection, and met with licensee, Cheyenne Lackey. It was alleged that a child’s representative had not been informed of a minor injury that was discovered at pickup; specificly the child had bite mark(s) on arm. The licensee was interviewed 6/3/22 at 11:45am and denied this stating that she informs parents by text or call if there is an injury. The licensee said se had informed the parent of the mark and said it was minor with no broken skin. The licensee has changed phones and said she no longer had access to the texts & photos from that date. The licensee said a child had received a small injury on 6/2/22 and on 6/3/22 the LPA observed proof (via texts & photo) that the parent had been informed.
continued

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Jaime Snow
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2022

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-20220531161429

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: LACKEY, CHEYENNE FAMILY CHILD CARE HOME	FACILITY NUMBER: 455407903
	VISIT DATE: 07/12/2022

NARRATIVE

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9 witnesses were interviewed including 3 parents, 3 staff & 3 children. 8 witnesses denied the allegation and 1 witness said there were a few times where there were some 'scabs' and the staff said they did not know how it happened but that they adequately supervise.
During the inspections the facility was toured and the licensee provided a copy of the updated roster. The LPA did not observe any injuries during the visit on 7/12/22.

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. An exit interview was conducted. The Notice of Site Visit must be posted for 30 days.

SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Jaime Snow
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2022

LIC9099 (FAS) - (06/04)

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