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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455407911
Report Date: 08/20/2021
Date Signed: 08/20/2021 01:38:03 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
06/24/2021 and conducted by Evaluator Bianca Mendez
COMPLAINT CONTROL NUMBER: 13-CC-20210624142255
FACILITY NAME:PORTER, KELSEY FAMILY CHILD CARE HOMEFACILITY NUMBER:
455407911
ADMINISTRATOR:PORTER, KELSEYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 921-3365
CITY:REDDINGSTATE: CAZIP CODE:
96002
CAPACITY:14CENSUS: 4DATE:
08/20/2021
UNANNOUNCEDTIME BEGAN:
09:29 AM
MET WITH:Kelsey PorterTIME COMPLETED:
09:46 AM
ALLEGATION(S):
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Licensee is operating over ratio
INVESTIGATION FINDINGS:
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On 8/20/21 at 9:30am Licensing Program Analyst (LPA) Mendez conducted an unannounced complaint inspection and met with licensee Kelsey Porter. It was alleged that licensee is operating over ratio.
The licensee was interviewed on 7/6/21 at 10:42am and denied the following allegations that licensee is operating over ratio. Licensee stated that she returned earlier from her family camping trip and was present on 6/24/21 and had 14 children present and her assistant present.
On 6/23/21 licensee’s assistant was operating alone and had 6 children present.LPA Mendez interviewed S1 on 7/6/21, S1 stated that on 6/23/21 they supervised 6 kids alone and on 6/24/21 they supervised 12 to 14 children and licensee was present. S1 stated that they were within their ratio.

Report Continued: See LIC 9099-C


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2021
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 2
Control Number 13-CC-20210624142255
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: PORTER, KELSEY FAMILY CHILD CARE HOME
FACILITY NUMBER: 455407911
VISIT DATE: 08/20/2021
NARRATIVE
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LPA Mendez interviewed three parents on 6/10/21 and 6/11/21. LPA Mendez addressed with parents during interview if they had witnessed licensee operating out of ratio. Parents stated that they have not witnessed licensee being out of ratio when they pick up their children.
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: Bianca Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2