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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 525407977
Report Date: 07/14/2026
Date Signed: 07/14/2026 10:17:59 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO CC RO, 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
06/16/2026 and conducted by Evaluator Sydney Sims
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20260616094020
FACILITY NAME:KOTASIK DAYCAREFACILITY NUMBER:
525407977
ADMINISTRATOR:JESSIE RADCLIFF ISLASFACILITY TYPE:
850
ADDRESS:2 SUTTER STREET, SUITE CTELEPHONE:
(530) 727-9607
CITY:RED BLUFFSTATE: CAZIP CODE:
96080
CAPACITY:34CENSUS: 12DATE:
07/14/2026
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Jasmine Zapien TIME COMPLETED:
10:27 AM
ALLEGATION(S):
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Staff handled child in a rough manner

Staff restrained child in care

Facility failed to report incident as required
INVESTIGATION FINDINGS:
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On 7/14/26 at 8:15am, Licensing Program Analyst (LPA) Sydney Sims conducted an unannounced complaint inspection, and met with facility representative Jasmine Zapien. It was alleged that Staff handled child in a rough manner, Staff restrained child in care, Facility failed to report incident as required specifically that staff S1 handled child C1 in a rough manner, that Staff S1 restrained child C1 by holding them down on the ground by the arms and legs, and that the facility failed to report the incident between staff S1 and Child C1.

The facility representative was interviewed on 06/18/26 at 8:45am and had knowledge of the allegations. facility representative stated that the facility representative observed the incident that occurred between staff S1 and child C1. Facility representative stated that S1 handled child C1 in a rough manner and restrained child C1 during that incident. Facility representative stated that they had no knowledge if the incident was reported to community care licensing.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Sydney Sims
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026
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-20260616094020
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO CC RO, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: KOTASIK DAYCARE
FACILITY NUMBER: 525407977
VISIT DATE: 07/14/2026
NARRATIVE
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Two staff (S2 -S3) were interviewed on 06/18/26 had knowledge of the allegations stating that S2 had observed the incident that occurred between staff S1 and child C1 and recalls that S1 did handle child C1 in a rough manner and restrain child C1. Staff S3 stated that S3 was not present for the incident but did observe evidence that showed S1 handling C1 in a rough manner and restraining C1. Staff S2 - S3 stated that they had no knowledge if the incident was reported to community care licensing.

One parent (P1) was interviewed on 07/13/26 and had knowledge of the allegation stating that P1 had observed staff S1 handle C1 in a rough manner, and S1 restrain C1 via video footage. P1 stated that the facility staff would record C1’s behaviors when C1 was escalated and then later show P1. P1 stated that staff would show P1 the videos and on multiple occasion it showed that S1 could be seen in the videos handling C1 in a rough manner and restraining C1. P1 had no knowledge if the facility reported the incidents to community care licensing.

On 06/18/26 the facility was toured and LPA conducted a file review and did not find any reports that documented the incident.

On 06/12/26 LPA Sims received evidence dated May 23, 2023 that showed Staff S1 handling child C1 in a rough manner by grabbing child C1 roughly by the arms and legs. Evidence also showed staff S1 restraining child C1 on the ground by S1 holding C1 down by the arms and legs. Evidence showed child C1 trying to get away from staff S1.

LPA Sims conducted facility file review and did not observe any unusual incident report submitted to the community care licensing department that disclosed the incident that occurred between Child C1 and Staff S1.

During the investigation LPA Sims reviewed evidence, conducted file reviews and conducted interviews with parent, and staff that supported the allegations.

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.

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Sydney Sims
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 13-CC-20260616094020
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO CC RO, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: KOTASIK DAYCARE
FACILITY NUMBER: 525407977
VISIT DATE: 07/14/2026
NARRATIVE
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LPA Sims informed facility representative Jasmine Zapien that this report dated 07/14/26 documents two Type A citation(s) which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Sims informed the facility representative to provide a copy of this licensing report dated 07/14/26 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with the facility representative. Appeal rights were provided.
A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Sydney Sims
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 13-CC-20260616094020
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: KOTASIK DAYCARE
FACILITY NUMBER: 525407977
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/14/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/15/2026
Section Cited
CCR
101223(a)(3)
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The licensee shall ensure that each child is accorded the following personal rights: To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation...This requirement was not met as evidenced by:
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Facility will hold all staff meeting and review the personal rights regulations provided. All staff will sign statement that they understand and agree to follow the personal right regulations signed and dated. POC due 07/15/26 to sydney.sims@dss.ca.gov
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Based on observation, interview, and record review, the licensee did not comply with the section cited above by Staff S1 handling child in a rough manner which poses an immediate l health, safety or personal rights risk to children in care.
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Type A
07/15/2026
Section Cited
CCR
101223(a)(2)
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The licensee shall ensure that each child is accorded the following personal rights: To be accorded safe, healthful and comfortable accommodations... This requirement was not met as evidenced by
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All facility staff will review personal rights training videos and answer the three questions associated with the video. Staff will send statement acknowledging they watched the video and their answers to the three questions signed and dated. POC due 07/15/26 to sydney.sims@dss.ca.gov
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Based on observation, interview, and record review, the licensee did not comply with the section cited above by Staff S1 physically restraining child C1 which poses an immediate l health, safety or personal rights 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.
SUPERVISOR'S NAME: Megan Aviles
LICENSING EVALUATOR NAME: Sydney Sims
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 13-CC-20260616094020
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: KOTASIK DAYCARE
FACILITY NUMBER: 525407977
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/14/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/14/2026
Section Cited
CCR
101212(d)
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During the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report...This requirement was not met as evidenced by:
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Facility representative will review reporting requirment regulations and write statement that facility repreentative understand and agrees to follow the regulations. POC due 08/14/26 to sydney.sims@dss.ca.gov
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Based on record review, the licensee did not comply with the section cited above by not reporting required incident as required which poses an immediate OR potential health, safety or personal rights 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.
SUPERVISOR'S NAME: Megan Aviles
LICENSING EVALUATOR NAME: Sydney Sims
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5