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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073408666
Report Date: 03/08/2023
Date Signed: 03/08/2023 11:36:15 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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/27/2023 and conducted by Evaluator Cherie Acosta
COMPLAINT CONTROL NUMBER: 02-CC-20230127154349
FACILITY NAME:RUNNELS, KRISTENFACILITY NUMBER:
073408666
ADMINISTRATOR:RUNNELS, KRISTENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 216-6642
CITY:BETHEL ISLANDSTATE: CAZIP CODE:
94511
CAPACITY:14CENSUS: 0DATE:
03/08/2023
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Kristen RunnelsTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Conduct Inimical - Adult in the home poses a threat to children in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cherie Acosta conducted an unannounced visit to deliver findings on the above allegation. LPA met with Kristen Runnels. Licensee's husband, Joe Runnels, was also present during the visit.

The above allegation was investigated by the Departments Investigations Branch.

Based on the investigation, the preponderance of evidence standard has been met, therefore the above allegation is to be substantiated.

Exit interview and report reviewed with Kristen Runnels.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023
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 3
Control Number 02-CC-20230127154349
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: RUNNELS, KRISTEN
FACILITY NUMBER: 073408666
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/08/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/08/2023
Section Cited
HSC
1596.8897(a)(2)
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Prohibited positions or employment; grounds; notice; removal; appeal; petition for reinstatement...Engaged in conduct that is inimical to the health, morals, welfare, or safety of either an individual in or
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The citation is cleared during today's visit as the licensee has opted to surrendered her license today, 3/8/23.
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receiving services from the facility, or the people of the State of California. Licensee's husband, Joe Runnels, has physically assaulted licensee and her adult daughter which poses an immediate risk to the health and safety of 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: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3