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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 293623969
Report Date: 03/16/2023
Date Signed: 03/16/2023 01:03:51 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
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 Amanda Blesi
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20230203150116
FACILITY NAME:BECERRA, LAURAFACILITY NUMBER:
293623969
ADMINISTRATOR:LAURA BECERRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 798-3002
CITY:GRASS VALLEYSTATE: CAZIP CODE:
95945
CAPACITY:14CENSUS: 6DATE:
03/16/2023
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Laura BecerraTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Other: Day care child allowed in an off limit area
Physical Plant - licensee did not barricade the stairs
INVESTIGATION FINDINGS:
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At approximately, 12:30 PM on Thursday, March 16, 2023, Licensing Program Analyst Amanda Blesi met with licensee Laura Becerra to close the complaint that was opened on 2/8/2023. Also present today was day care assistant, Samantha Glatt, and six day care children. The complaint alleges that in September 2022, licensee did not barricade the stairs on the front porch. LPA observed the top of the stairs barricaded by a safety gate during inspections conducted 2/8/23 and 3/16/23; however, there was no safety gate at the bottom of the stairs. Licensee states children play in the front yard right which is located next the staircase. Licensee also stated children sometimes play on the front porch. Based on LPA observations the stairs, were not completely barricaded (top and bottom) to prevent access to children. It was also alleged licensee allowed a day care child in an off limit bedroom in September 2022. LPA conducted interviews and reviewed documents relevant to the complaint. Licensee states there was one day she did allow a child in the off limit room to isolate the child because the child had hives. The preponderance of evidence standard has been met and the above allegations are substantiated.

Report is continued on the following page, see LIC 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Amanda Blesi
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023
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 03-CC-20230203150116
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.250
SACRAMENTO, CA 95833

FACILITY NAME: BECERRA, LAURA
FACILITY NUMBER: 293623969
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/16/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/16/2023
Section Cited
HSC
102417(g)(3)
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Operation of a family day care home: Where children less than five years old are in care, stairs shall be fenced or barricaded.
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Licensee states she was unaware both the top and the bottom needed to be barricaded. To correct the deficiency, licensee shall submit a photo showing the bottom stairway is barricaded along with the top. This shall be corrected by 4/16/2023.
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This requirement was not met as evidenced by: Stairs leading to the front porch were not completely barricaded (top and bottom). Licensee had the top of the stairs barricaded, however, there was no barricade at the bottom of the stairs. The stairs are accessible to children when they are in the front yard playing. This poses a potential threat to the health and safety of children in care.

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Type B
04/16/2023
Section Cited
CCR
102416.3(a)(6)
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Alterations to Existing Buildings or Grounds: Prior to making alterations to a family child care home, the licensee shall notify the Department of the proposed changes, including, but not limited to, the following: Any change from an area of the family child care home previously identified as "off limits" to an area where care and supervision will be provided to children in care.
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Licensee states she only allowed a child into the room one time to isolate the child when the child was ill. She states she knows not to allow children in off limit areas. LPA did not observe children in the off limit rooms during today's inspection. LPA toured the off limit room and did not observe any hazards. Deficiency corrected during visit.
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This requirement was not met as evidenced by: licensee failed to notify the Department before using an off limit room for a day care child. This poses a potential 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: Keven Peters
LICENSING EVALUATOR NAME: Amanda Blesi
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20230203150116
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.250
SACRAMENTO, CA 95833
FACILITY NAME: BECERRA, LAURA
FACILITY NUMBER: 293623969
VISIT DATE: 03/16/2023
NARRATIVE
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See LIC 9099-D for deficiencies issued.

Appeal Rights provided.

This report was discussed with licensee, Laura Becerra, and a copy of the report was provided. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Amanda Blesi
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3