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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313622989
Report Date: 06/06/2023
Date Signed: 06/06/2023 09:08:17 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 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
05/09/2023 and conducted by Evaluator Jeremey McClain
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20230509115959
FACILITY NAME:SOULE, KARENFACILITY NUMBER:
313622989
ADMINISTRATOR:SOULE, KARENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 646-9660
CITY:GRANITE BAYSTATE: CAZIP CODE:
95746
CAPACITY:14CENSUS: 2DATE:
06/06/2023
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Karen SouleTIME COMPLETED:
09:15 AM
ALLEGATION(S):
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Licensee left day care child unattended
INVESTIGATION FINDINGS:
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On June 6th, 2023, Licensing Program Analyst (LPA) Jeremey McClain met with Karen Soule in order to deliver findings for a complaint investigation. LPA observed two preschool aged children in care. Licensee’s husband was present during the inspection. It was alleged that licensee left a child in care unattended outside as a form of discipline. During the investigation, LPA conducted interviews with licensee and children in care. Based on the evidence that was gathered, LPA determined the the preponderance of evidence standard has not been met; therefore, the allegation is determined to be unsubstantiated.

There were no Title 22 deficiencies during today’s investigation. LPA reviewed this report with Licensee and provided a Notice of Site Visit that must be posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2023
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
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 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
05/09/2023 and conducted by Evaluator Jeremey McClain
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20230509115959

FACILITY NAME:SOULE, KARENFACILITY NUMBER:
313622989
ADMINISTRATOR:SOULE, KARENFACILITY TYPE:
810
ADDRESS:6933 SHADY LAKE LANETELEPHONE:
(530) 646-9660
CITY:GRANITE BAYSTATE: CAZIP CODE:
95746
CAPACITY:14CENSUS: 2DATE:
06/06/2023
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Karen SouleTIME COMPLETED:
09:15 AM
ALLEGATION(S):
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2
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7
8
9
Licensee spoke inappropriately towards a child in care
INVESTIGATION FINDINGS:
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13
On June 6th, 2023, Licensing Program Analyst (LPA) Jeremey McClain met with Karen Soule in order to deliver findings for a complaint investigation. LPA observed two preschool aged children in care. Licensee’s husband was present during the inspection. It was alleged that licensee spoke inappropriately towards a child in care. During the investigation, LPA conducted interviews with licensee and children in care and obtained further evidence. Based on the evidence that was gathered, LPA determined the preponderance of evidence standard has been met; therefore, the allegation is determined to be substantiated.

Type B deficiencies are cited on the subsequent page of the report, and if not corrected, pose a potential threat to the health and safety of children in care. LPA reviewed this report with Licensee and provided a Notice of Site Visit that must be posted for 30 days. LPA provided appeal rights.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20230509115959
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: SOULE, KAREN
FACILITY NUMBER: 313622989
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/06/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/30/2023
Section Cited
CCR
102423(a)(1)
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Personal Rights. (a)Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following:
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Licensee stated that she will adress similar situations by contacting parents/guardians sooner if she feels a child is struggling or having a bad day.
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(1) To be treated with dignity in his/her personal relationship with staff and other persons. This requirement was not met as evidenced by interviews conducted during the investigation. Evidcence corroborated that licensee did not speak appropriately to a child in care in response to them crying.
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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: Jeremey McClain
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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