483010111-4-26-2023-01-CC-LLEI-CRC3EL-20230428181120

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 483010111
Report Date: 04/26/2023
Date Signed: 04/26/2023 12:19:21 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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/25/2023 and conducted by Evaluator Melchisedeck Augustin

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20230125142035

FACILITY NAME:	REED, TAMARA FCCH		FACILITY NUMBER:	483010111
ADMINISTRATOR:	TAMARA REED		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(415) 314-9024
CITY:	VALLEJO	STATE: CA	ZIP CODE:	94591
CAPACITY:	14	CENSUS: 2	DATE:	04/26/2023
		UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Tamara Reed - Licensee		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

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Licensee did not ensure that day care child was picked up from school on a timely basis.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Melchisedeck Augustin made a subsequent complaint-investigation visit and met with Licensee, Tamara Reed (LS) for the purpose of delivering finding for the above allegation. LPA previously met with LS on 02/01/23 to initiate the investigation by discussing the purpose of the visit, conducting interviews with LS; and requesting a facility roster of the children currently in care. It was alleged that the Licensee did not ensure that a day care child was picked up from school on a timely basis.

LPA interviewed LS, one parent (P1), and one adult (A1), from 01/27/23 through 03/24/23. LS confirmed she had an agreement with P1 to pick up C1 from an elementary after-school program by 6:00pm on Tues, Wed & Thurs, however; in 2022 and early 2023, LS picked up C1 between two to ten minutes late due to certain circumstances. LS stated she mistakenly thought she was supposed to pick up C1 by 6:15pm, until a school district personnel (A1) from the after-school program reminded LS of the requirement for C1 to be picked up before or by 6:00pm. (Continue to LIC 9099-C)

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 01-CC-20230125142035

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: REED, TAMARA FCCH	FACILITY NUMBER: 483010111
	VISIT DATE: 04/26/2023

NARRATIVE

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The statement P1 and A1 provided validated there was an agreement for P1 to drop off C1 at the elementary school, while LS was responsible for picking C1 up from the after-school program by 6:00pm on the days LS specified at which time LS was expected to provide the care and supervision. According to P1, LS was late to pick up C1 from the after-school program once per week on at least ten separate occasions, and to P1’s knowledge, the latest time LS picked up C1 was at 6:30pm which resulted in the school notifying P1 of LS’s tardiness. It was the after-school program’s policy to not release a child until the parent or authorized person designated to pick up the child was at the school. A1 conveyed the after-school program’s regular operating hours were 3:00pm to 6:00pm, and the program’s expectation was for the parent or authorized person to pick up C1 at the side gate area either before or by 6:00pm. A1 confirmed C1 was enrolled in the after-school program, and further explained that on two prior occasions LS picked up C1 from the program between 6:05pm and 6:15pm. Also, in November or December 2022, LS picked C1 up at 6:20pm, which resulted in C1 or a school district personnel having to call LS to find out her location. LS’s tardiness prompted A1 to instruct LS to call the after-school program in advance if LS anticipated being late. This evidence corroborates the claims that LS has picked up C1 late from the afterschool program on multiple occasions when LS had agreed to be available to pick up and provide care and supervision.

Based on LPAs interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 & Chapter 1, Article 06, are being cited on the attached LIC 9099D. Appeal Rights were provided. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the licensee, Tamara Reed.

LPA Melchisedeck Augustin informed licensee, Tamara Reed that this report dated 04/26/2023 document(s) one 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, Melchisedeck Augustin informed the licensee to provide a copy of this licensing report dated 04/26/2023 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.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2023

LIC9099 (FAS) - (06/04)

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Control Number 01-CC-20230125142035

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: REED, TAMARA FCCH	FACILITY NUMBER: 483010111
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/26/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 04/27/2023 Section Cited CCR 102417(a)	1 2 3 4 5 6 7	The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the	1 2 3 4 5 6 7	Licensee stated she would produce a statement detailing how she intends to ensure children are supervised at all times, in addition to how she would ensure children were picked up on a timely basis. Licensee stated she would submit her POC to the Department by 04/27/23 via mail, email or fax.
	8 9 10 11 12 13 14	hours that the facility is providing care per day. This requirement is not met as evidenced by: Based on interviews confirming LS was late in picking C1 up on multiple occasions and as such, did not fulfill her role to provide care and supervision per reg. This posed an immediate health, safety and/or personal rights risk to children in care.	8 9 10 11 12 13 14	Email: [email protected] Fax: 707-588-5099
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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: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2023

LIC9099 (FAS) - (06/04)

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