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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 115407317
Report Date: 09/30/2021
Date Signed: 09/30/2021 01:24:50 PM

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
06/04/2021 and conducted by Evaluator Emilia Grisak
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20210604084209
FACILITY NAME:DAVIS, VICKY FAMILY CHILD CARE HOMEFACILITY NUMBER:
115407317
ADMINISTRATOR:DAVIS, VICKYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 586-2558
CITY:ORLANDSTATE: CAZIP CODE:
95963
CAPACITY:14CENSUS: 0DATE:
09/30/2021
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Vicky DavisTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Children instructed to stay outdoors all day, even when hot outside.
Children instructed to do all toileting outdoors.
INVESTIGATION FINDINGS:
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On 9/30/21 at 1:00pm, Licensing Program Analyst (LPA) Emilia Grisak conducted a complaint inspection and met with licensee Vicky Davis. It was alleged that children are instructed to stay outdoors all day, even when hot outside, and specifically that children are also napping outside. The licensee was interviewed on 6/10/21 at 1:00pm and stated that it is an outside facility and everything is set up for the children outside and parents are aware they are outside all day and they are all ok with it. Licensee stated that if it is hot then they play in the sprinklers and use water toys and she has shade and tents set up. Three parents were interviewed on 6/24/21, 6/30/21, and 7/6/21. It was stated during a parent interview that child wakes up hot and sweaty from napping outside. During tele-inspection on 6/10/21 LPA observed two children sleeping in small pop-up tents on a sidewalk in direct sunlight. LPA observed that the recorded temperature for 6/10/21 was 75 degrees F. 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.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Emilia Grisak
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2021
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 6
Control Number 13-CC-20210604084209
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: DAVIS, VICKY FAMILY CHILD CARE HOME
FACILITY NUMBER: 115407317
VISIT DATE: 09/30/2021
NARRATIVE
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It was also alleged that children are instructed to do all toileting outdoors, specifically that there is a child’s toilet setup inside a tarp that children must use. The licensee was interviewed on 6/10/21 at 1:00pm and stated that there is a training potty set up in a tent outside that is cleaned and disinfected after each use and at the end of the day. Licensee stated that there is also an outdoor sink for the children to use. Three parents were interviewed on 6/10/21, 6/30/21, and 7/6/21. It was stated during a parent interview that child does not like using the outdoor potty. During a tele-inspection on 6/10/21 LPA observed that there was urine in the training potty and there was not soap or paper towels present at the sink available for children to use as needed. 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.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Emilia Grisak
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 13-CC-20210604084209
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: DAVIS, VICKY FAMILY CHILD CARE HOME
FACILITY NUMBER: 115407317
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/30/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/04/2021
Section Cited
CCR
102423(a)(2)
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Personal Rights: The licensee shall ensure that each child is accorded the following personal rights. To be accorded safe, healthful and comfortable accomodations, furnishings and equipment to meet his/her needs
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Licensee agrees to submit a written statement/plan to CCL by 10/7/21 which will document how she will ensure children's personal rights are met.
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Based on interviews and observation, the licensee did not comply with the section cited above due to children napping and toileting outside which poses an potential health, safety or personal rights risk to persons 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: Erin Virrueta
LICENSING EVALUATOR NAME: Emilia Grisak
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 6
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
06/04/2021 and conducted by Evaluator Emilia Grisak
COMPLAINT CONTROL NUMBER: 13-CC-20210604084209

FACILITY NAME:DAVIS, VICKY FAMILY CHILD CARE HOMEFACILITY NUMBER:
115407317
ADMINISTRATOR:DAVIS, VICKYFACILITY TYPE:
810
ADDRESS:1030 TRINITY STREETTELEPHONE:
(530) 586-2558
CITY:ORLANDSTATE: CAZIP CODE:
95963
CAPACITY:14CENSUS: 0DATE:
09/30/2021
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Vicky DavisTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Child sustained injuries in care which were not reported to responsible party
Child was left in soiled clothing
INVESTIGATION FINDINGS:
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On 9/30/21 at 1:00pm, Licensing Program Analyst (LPA) Emilia Grisak conducted a complaint inspection and met with licensee Vicky Davis. It was also alleged that child sustained injuries in care which were not reported to responsible party, specifically that child C1 has received scratches on the back and bruises on the forehead which were unexplained. The licensee was interviewed on 6/10/21 at 1:00pm and stated that there have only been minor injuries like scraped knees and parents are always texted and notified immediately. Three parents were interviewed on 6/10/21, 6/30/21, and 7/6/21. It was stated by 3 out of 3 parents that their children have never had unexplained injuries and stated that the licensee always notifies them when something happens. 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.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Emilia Grisak
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 13-CC-20210604084209
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: DAVIS, VICKY FAMILY CHILD CARE HOME
FACILITY NUMBER: 115407317
VISIT DATE: 09/30/2021
NARRATIVE
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It was also alleged that a child was left in soiled clothing. The licensee was interviewed on 6/10/21 at 1:00pm and stated that she always asks parents to pack extra clothes because the children do a lot of water play. The licensee stated that there was one incident when a parent did not provide extra clothes after being asked and a child was in wet clothes for a short period of time. Three parents were interviewed on 6/10/21, 6/30/21, and 7/6/21. It was stated by 3 out of 3 parents that they have not observed their children left in soiled clothes. 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: Erin Virrueta
LICENSING EVALUATOR NAME: Emilia Grisak
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2021
LIC9099 (FAS) - (06/04)
Page: 6 of 6