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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 525408080
Report Date: 05/17/2023
Date Signed: 05/17/2023 08:20:19 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
02/03/2023 and conducted by Evaluator Bianca Mendez
COMPLAINT CONTROL NUMBER: 13-CC-20230203092106
FACILITY NAME:SURBER, TRINA FAMILY CHILD CARE HOMEFACILITY NUMBER:
525408080
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 2DATE:
05/17/2023
UNANNOUNCEDTIME BEGAN:
07:45 AM
MET WITH:Trina SurberTIME COMPLETED:
08:21 AM
ALLEGATION(S):
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Licensee does not ensure infant is provided with adequate food
Licensee refuses to allow child’s authorized representative access to the facility during day care hours
INVESTIGATION FINDINGS:
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On 5/17/23 at 7:45am, Licensing Program Analyst (LPA) Mendez conducted a subsequent visit for the purpose of delivering complaint findings and met with licensee Trina Surber. It was alleged that licensee does not ensure infant is provided with adequate food and Licensee refuses to allow child’s authorized representative access to the facility during day care hours.

Licensee was interviewed at 2:20pm on 2/7/23 and stated that parents provide the food for their children as stated in their contract and licensee will provide snacks if needed. Licensee provided a copy of contract and stated that they inform parents of their child’s eating habits. Licensee stated that she has never denied the right to a parent to come see their child during childcare hours. She stated that parents are welcome to drop in and check in on their child.

continued on 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023
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-20230203092106
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: SURBER, TRINA FAMILY CHILD CARE HOME
FACILITY NUMBER: 525408080
VISIT DATE: 05/17/2023
NARRATIVE
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Staff (S1) was interviewed on 5/11/23 and stated that licensee is providing and offering food to children that is brought in by parents. She stated that licensee does not refuse entry to parents when they arrive.

LPA interviewed 5 parents (P1-P5) on 4/14/23 and 5/11/23, LPA asked parents if they have infants in care and 2 of 5 parents stated yes LPA Mendez asked parents if they provide meals for their child in care in which 5 of 5 parents stated yes. LPA asked if they have been denied entry in the home during childcare hours in which 5 of 5 stated no. LPA asked parents if they had concerns in regard to the care of their child in which 4 of 5 stated no they have no concerns.

During today’s inspection facility was toured /records. LPA observed 2 children in care and that licensee has children’s food packed and labeled with their names available for children in the cabinet.

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: 05/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2