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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 585407061
Report Date: 11/18/2021
Date Signed: 11/18/2021 09:54:52 AM

Substantiated


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
08/24/2021 and conducted by Evaluator Emilia Grisak
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20210824164315
FACILITY NAME:VITAL FAMILY CHILD CARE HOMEFACILITY NUMBER:
585407061
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 5DATE:
11/18/2021
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Cindy VitalTIME COMPLETED:
10:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Child left in soiled clothes for extended period of time
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/18/2021 at 9:30am, Licensing Program Analyst (LPA) Emilia Grisak conducted an unannounced complaint inspection, and met with licensee Cindy Vital. It was alleged that child left in soiled clothes for extended period of time, specifically that child C1 had an accident and was not changed or cleaned by the licensee for an hour.
The licensee was interviewed on 9/8/2021 at 2:41pm and stated that child C1 had an accident and parent forgot to bring any extra clothes. Licensee stated that she looked and did not have any extra clothes and the child was still in soiled underwear when child was picked up. CCL received a self-reported unusual incident report from licensee regarding this incident and licensee documented that incident occurred around 11:45am and child was picked up at 12:05pm. 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. Appeal rights were provided and exit interview conducted. The Notice of Site Visit must be posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Emilia Grisak
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2021
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-20210824164315
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: VITAL FAMILY CHILD CARE HOME
FACILITY NUMBER: 585407061
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/18/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/26/2021
Section Cited
CCR
102423(a)(2)
1
2
3
4
5
6
7
Personal Rights - Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee…These rights include, but are not limited to, the following: To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
The licensee stated that she made sure to stock up on pull ups and have a towel in the bathroom as well. Licensee also added a box of spare clothes so something like this never happens again. The deficiency has been cleared.
8
9
10
11
12
13
14
Based on interviews and record review the licensee did not ensure a child’s personal rights were met when a child was left in soiled clothing for an extended period of time.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Emilia Grisak
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2