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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 090320672
Report Date: 01/18/2022
Date Signed: 01/18/2022 12:08:07 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
08/23/2021 and conducted by Evaluator Michelle Pascual
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20210823124557
FACILITY NAME:LAKE TAHOE COMMUNITY COLLEGE CHILD DEVEL CTRFACILITY NUMBER:
090320672
ADMINISTRATOR:AMATO,LESLIEFACILITY TYPE:
850
ADDRESS:ONE COLLEGE DRTELEPHONE:
(530) 541-4660
CITY:SOUTH LAKE TAHOESTATE: CAZIP CODE:
96150
CAPACITY:30CENSUS: 9DATE:
01/18/2022
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Leslie AmatoTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Personal Right- Staff inappropriately touched day care child
INVESTIGATION FINDINGS:
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On January 18th, at approximately 11:30 am, Licensing Program Analysts (LPAs) Michelle Pascual & Arianna Manabat met with Director Leslie Amato to deliver complaint finding for the allegation above. Upon arrival, LPA observed nine (9) students in care, one teacher and one aide.

The reporting party alleged that a staff member inappropriately touched a child during naptime. During the course of the investigation, the Investigations Branch of the Department of Social Services conducted interviews with law enforcement, the Director, the Reporting Party, three teachers and four children. IB found through admission of a prior staff member, that a child was inappropriately touched. The facility took immediate action and dismissed the staff member.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Michelle Pascual
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2022
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-20210823124557
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: LAKE TAHOE COMMUNITY COLLEGE CHILD DEVEL CTR
FACILITY NUMBER: 090320672
VISIT DATE: 01/18/2022
NARRATIVE
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Based on the information gathered the preponderance of evidence standard has been met, therefore the allegation is SUBSTANTIATED.

Upon receipt, facility representative shall post and provide copies of this licensing report to parents/ guardians of children who are currently enrolled as well as parents/ guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must acknowledge receipt of this report and citation by signing a LIC9224, “ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS”. A copy of this form should be placed in each child file upon receipt from parent.

LPA Pascual discussed this report with facility representative and conducted an exit interview. LPA also provided appeal rights. Notice of site visit posted.

SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Michelle Pascual
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20210823124557
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: LAKE TAHOE COMMUNITY COLLEGE CHILD DEVEL CTR
FACILITY NUMBER: 090320672
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/18/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/19/2022
Section Cited
CCR
101223(a)(1)
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The licensee shall ensure that each child is accorded the following personal rights:
To be accorded dignity in his/her personal relationships with staff and other persons.
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Letter plan of action with training, follwo up with employees, supervise classrooms more often and continue extensive background checks for volunteers.
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This was not witnessed by: Admission of employee inappropriately touching a child.
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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: Roxana Saravia
LICENSING EVALUATOR NAME: Michelle Pascual
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3