340300163-6-14-2021-23-CR-RROZ-C47KVS-20210621081450

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 340300163
Report Date: 06/14/2021
Date Signed: 06/14/2021 03:21:06 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR., STE 260
SACRAMENTO, CA 95833

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/10/2021 and conducted by Evaluator Alyssa M Burgess

PUBLIC

COMPLAINT CONTROL NUMBER: 23-CR-20210210144842

FACILITY NAME:	HELEN E. COWELL CHILDREN'S CENTER		FACILITY NUMBER:	340300163
ADMINISTRATOR:	ANNETTE JUMPER		FACILITY TYPE:	733
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	18	CENSUS: 11	DATE:	06/14/2021
		UNANNOUNCED	TIME BEGAN:	02:50 PM
MET WITH:	Annette Jumper & David Baker		TIME COMPLETED:	02:55 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

The facility has insects.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Alyssa Burgess, LPA Chad Cabigon, and Licensing Program Manager (LPM) Rosa Rodriguez met with Director Annette Jumper and CEO David Baker during an informal office meeting to deliver the findings of this complaint.

LPA investigated this complaint by reviewing staff communication notes, email correspondence, pest control records, and by conducting confidential interviews with the Reporting Party and nine staff, including Administration staff, on 2/16/2021, 6/8/2021, and 6/9/2021.

LPA found based on interviews that the facility did have an issue with gnats entering the facility in the pantry. Around mid-January the facility had a plumbing company come out to assess what the problem was with a pipe due to a strong odor and the gnats, and during so, many more gnats entered the facility in the pantry through the crawlspace. When this happened, the facility called a pest

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Rosa Rodriguez	TELEPHONE: (916) 662-1458
LICENSING EVALUATOR NAME: Alyssa M Burgess	TELEPHONE: (916) 292-0433
LICENSING EVALUATOR SIGNATURE:	DATE: 06/14/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2021

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 23-CR-20210210144842

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR., STE 260
SACRAMENTO, CA 95833

FACILITY NAME: HELEN E. COWELL CHILDREN'S CENTER	FACILITY NUMBER: 340300163
	VISIT DATE: 06/14/2021

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

control company to come out and spray. The company did come out and spray, however afterwards, the gnats tried to escape from under the house, flying through the crawlspace and dying in the pantry. At the time, the food was removed from the pantry and put in the kitchen. Staff sprayed the gnats nightly, and wiped them up the following day. The pest control company did come out to spray again.

During interviews, LPA learned that the cycling of gnats lasted for about four weeks. On 2/16/2021 when LPA visited the facility and observed the dead gnats in the pantry, it was about the time that the gnat issue was resolving. After that inspection, the facility had maintenance staff clean out the overhead light where the dead gnats were, and other staff cleaned up the rest. Soon after, the facility put a mat over the closed crawlspace to try to further prevent anymore gnats from coming through. This completely resolved the issue. In subsequent visits (in person, and virtually) to the facility, LPA did not observe any more gnats in the pantry.

Based on all the interviews and evidence, LPA found that the facility did have insects, so the finding for this allegation is substantiated, or true, however LPA also found the facility did take the correct actions necessary to rid the facility of the pests. Therefore, no citation will be issued.

At 2:53 PM, an exit interview was conducted with CEO and Administrator and a copy of this report along with appeal rights was emailed to Administrator with a read receipt which will serve as the signature.

SUPERVISOR'S NAME: Rosa Rodriguez	TELEPHONE: (916) 662-1458
LICENSING EVALUATOR NAME: Alyssa M Burgess	TELEPHONE: (916) 292-0433
LICENSING EVALUATOR SIGNATURE:	DATE: 06/14/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 2