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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343622833
Report Date: 05/21/2024
Date Signed: 05/21/2024 04:04:09 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/24/2024 and conducted by Evaluator Lea Habtom
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20240424144337
FACILITY NAME:TAYLOR, CHAUNCYFACILITY NUMBER:
343622833
ADMINISTRATOR:TAYLOR, CHAUNCYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 904-9166
CITY:ANTELOPESTATE: CAZIP CODE:
95843
CAPACITY:14CENSUS: DATE:
05/21/2024
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Chauncy TaylorTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Conduct inimical - licensee was arrested
Licensee took day care children into a volatile situation
Licensee did not report the incident to the Department
INVESTIGATION FINDINGS:
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On Tuesday, May 21, 2024, Licensing Program Analyst (LPAs) Lea Habtom and Loraine Perez met with Licensee, Chauncy Taylor, to close a close a complaint investigation for the above allegations. Upon arrival, LPA observed 5 children being supervised by Licensee.

During the investigation, LPA Habtom toured the facility, conducted observation, and interviewed those pertinent to the investigation. It was alleged that the licensee was arrested and behaved in a conduct inimical manner that was not in the best interest of the childcare. Interviews with the licensee and collected documents revealed that the licensee was arrested for violating a restraining order. Based on the corroborating information collected LPA Lea Habtom has found that the licensee behaved in a conduct inimical manner which resulted in her arrest to be SUBSTANTIATED: meaning that the allegation is valid because the preponderance of the evidence standard has been met.

Report continued on 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2024
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 4
Control Number 03-CC-20240424144337
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: TAYLOR, CHAUNCY
FACILITY NUMBER: 343622833
VISIT DATE: 05/21/2024
NARRATIVE
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Licensee took day care children into a volatile situation

During the investigation, LPA Habtom toured the facility, conducted observation, and interviewed those pertinent to the investigation. It was alleged that the licensee took day care children into a violate situation. Video surveillance revealed that the licensee was at the home and was involved in a heated disagreement in the presence of about three daycare children. Based on the corroborating information collected LPA Lea Habtom has found that the licensee violated children’s personal rights therefore the allegation is to be SUBSTANTIATED: meaning that the allegation is valid because the preponderance of the evidence standard has been met.

Licensee did not report the incident to the Department

During the investigation, LPA Habtom toured the facility, conducted observation, and interviewed those pertinent to the investigation. It was alleged that the licensee did not report an incident to the department. Interviews with the licensee and collected documents revealed that the licensee was arrested for violating a restraining order. The licensee failed to report this incident to licensing on an unusual incident report within the specified time frame of 24 hours and 7 days. LPA Lea Habtom has found that the licensee failed to report the incident to the department to be SUBSTANTIATED: meaning that the allegation is valid because the preponderance of the evidence standard has been met.

Title 22 Deficiency has been cited on the attached LIC 809-D. LPA Lea Habtom informed licensee Chauncy Taylor that this report dated May 21, 2024, documents 2 Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA Lea Habtom informed the licensee Chauncy Taylor to provide a copy of this licensing report dated May 21, 2024 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. Appeal Rights given.

SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4
Control Number 03-CC-20240424144337
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: TAYLOR, CHAUNCY
FACILITY NUMBER: 343622833
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/21/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/22/2024
Section Cited
HSC
1596.885(c)
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1596.885(c) Conduct which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of this state. This requirement was not met as evidenced by licensee was arrested for violating a restraining order while day care children
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Licensee states she will not cross a professional line no matter the timing.
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were present. This is an immediate health and safety risk to the children in care.
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Type A
05/22/2024
Section Cited
CCR
102423(a)(2)
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Personal Rights 102423(a)(2): Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee (2) To receive safe, healthful, and comfortable accommodations. This requirement was not met as evidenced by
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Licensee states she will follow the corrective legal way to serve documents or any incidents pertaining to legal matter and not have daycare children in the situations.
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the licensee was involved in a heated disagreement against an individual with about 3 day care children which posses an immediate health and safety risk to the 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: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 03-CC-20240424144337
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: TAYLOR, CHAUNCY
FACILITY NUMBER: 343622833
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/21/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/07/2024
Section Cited
CCR
102416.2(b)
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Reporting requirements 102416.2(b): The licensee shall report to the Department any of the events as specified in Health and Safety Code Sections 1597.467(b)(1)(A) through (b)(1)(C) that occur during the operation of the family child care home. This requirement was not met as evidenced by
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LPA L. Habtom reviewed reporting requirements with licensee & provided LIC 624.
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licensee failed to report the arrest to licensing deparment within the specified timeframe which posses a potential risk to the 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: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2024
LIC9099 (FAS) - (06/04)
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