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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 475407728
Report Date: 10/11/2023
Date Signed: 10/11/2023 12:04:13 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO-DAY CARE, 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
10/10/2023 and conducted by Evaluator Nicolette Cunningham
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20231010153056

FACILITY NAME:LAWRENCE-SAMPSON FAMILY CHILD CARE HOMEFACILITY NUMBER:
475407728
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: DATE:
10/11/2023
UNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Latisha Lawrence, LicenseeTIME COMPLETED:
12:05 PM
ALLEGATION(S):
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Licensee is absent from home more than 20% of the hours that the facility is providing care per day.
INVESTIGATION FINDINGS:
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A complaint investigation was conducted by Licensing Program Analysts (LPA) N. Cunningham. It was alleged that Licensee Lawrence is absent from home more than 20% of the hours that the facility is providing care per day. Licensee Sampson was interviewed on 10/11/23 at 10:50am and stated that Licensee Lawrence has outside employment.

Based on the licensee's statement, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. See 9099D.

This report was read and reviewed with the licensee. Appeal rights were provided.

Notice of Site Visit shall be posted for 30 days from today's visit.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Nicolette Cunningham
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 13-CC-20231010153056
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO-DAY CARE, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: LAWRENCE-SAMPSON FAMILY CHILD CARE HOME
FACILITY NUMBER: 475407728
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/11/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/18/2023
Section Cited
CCR
102417(a)
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The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.
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Licensee Sampson stated he disagrees with the citation. Licensee Lawrence stated she will e-mail and request to remove her name from the facility license.

nicolette.cunningham@dss.ca.gov
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This requirement was not met as evidenced by: based upon Licensee Sampson statement Licensee Lawrence is not present in the home 80 percent of the time. This poses a potential risk to 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: Erin Virrueta
LICENSING EVALUATOR NAME: Nicolette Cunningham
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3