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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455407963
Report Date: 04/11/2022
Date Signed: 04/15/2022 08:23:01 AM

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
01/31/2022 and conducted by Evaluator Bianca Mendez
COMPLAINT CONTROL NUMBER: 13-CC-20220131094254
FACILITY NAME:PERRY, CHRISTA FAMILY CHILD CARE HOMEFACILITY NUMBER:
455407963
ADMINISTRATOR:PERRY, CHRISTAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 708-1110
CITY:COTTONWOODSTATE: CAZIP CODE:
96022
CAPACITY:14CENSUS: 0DATE:
04/11/2022
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Christa PerryTIME COMPLETED:
09:50 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Day care children were left unsupervised while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 4/11/22 at 9:31pm, Licensing Program Analyst (LPA) Mendez conducted an unannounced inspection to deliver findings, and met with licensee Christa Perry. It was alleged that day care children were left unsupervised while in care.
The licensee was interviewed on 2/4/22 at 9:10am and denied the allegation and stated that licensee was with the child and had walked away for a quick second as the parent had entered through the front door. She stated the assistant was outside with the rest of the children and called the assistant to come in with the children because they were moving the children from outside to inside the house.
LPA Mendez interviewed Adult 1 (A1) on 2/4/22 at 9:13am, A1 stated that they help licensee with children in care when there is not an assistant available. A1 stated that they were not in the home at the time that when children were left unsupervised when the incident occurred.
LPA Mendez interviewed Staff (S1) on 2/4/22 at 9:25am. LPA Mendez asked if (S1) if she has ever left children unsupervised or if licensee has left them alone and she stated no, no children have been left alone. S1 has not witnessed any children being left unsupervised in care.

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

DATE: 04/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2022
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 2
Control Number 13-CC-20220131094254
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: PERRY, CHRISTA FAMILY CHILD CARE HOME
FACILITY NUMBER: 455407963
VISIT DATE: 04/11/2022
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
LPA Mendez interviewed parents four parents (P1-P4) on 2/1/22 and 2/8/22. LPA Mendez asked parents (P1-P4) if they have witnessed day care children being left unsupervised in care. P1 stated they had walked in and saw that children were left alone without licensee. P3-P4 stated no, children are not left alone unsupervised while in care. P2 stated that their children have never been left alone. P3 stated licensee has never left children unsupervised and trusts them. P4 stated that licensee is always with the children and sometimes S1 is there with the children.

LPA Mendez interviewed two children on 2/1/22 and 2/4/22. LPA Mendez asked Children (C1-C2) if they were left alone without an adult watching them. C1 stated when licensee goes to store, staff (S1) watches them. LPA Mendez asked C2 if they are left alone without an adult and C2 stated no.
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: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2