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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393611645
Report Date: 11/07/2023
Date Signed: 11/07/2023 01:05:05 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. 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
09/12/2023 and conducted by Evaluator Erwin Tjhia
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20230912121802
FACILITY NAME:CAMP HUTCHINS OF LODI MEMORIAL HOSPITALFACILITY NUMBER:
393611645
ADMINISTRATOR:MARIA ZAMORAFACILITY TYPE:
850
ADDRESS:125 SOUTH HUTCHINS STREETTELEPHONE:
(209) 334-2267
CITY:LODISTATE: CAZIP CODE:
95240
CAPACITY:53CENSUS: 39DATE:
11/07/2023
UNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Jennifer CortesTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Facility is out of ratio
Uncleared adults providing care
Staff did not notify day care children's parents of incident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Erwin Tjhia met with facility lead teacher, Jennifer Cortes to deliver findings of the complaint investigation regarding the above allegations. There were 39 children and 6 staff during the visit.

Throughout the investigation, LPA conducted observations and interviewed parents, staff, and children. It was alleged that Facility is out of ratio. The interview with the supervisor and staff revealed that the facility was always in compliance with ratio regulation. The interview parents revealed that they never saw or witnessed the facility was operating out of ratio. Parents stated there were always enough teachers to watch the children and they did not have any concern about it. During the visits, LPA also observed the facility was always in compliance with ratio and capacity regulation.

Report Continue on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Erwin Tjhia
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2023
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 4
Control Number 53-CC-20230912121802
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: CAMP HUTCHINS OF LODI MEMORIAL HOSPITAL
FACILITY NUMBER: 393611645
VISIT DATE: 11/07/2023
NARRATIVE
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It was also alleged that uncleared adults providing care. Interview with supervisor and staff revealed that all staff were fingerprinted, cleared and associated to the facility before they started. Interview with parents revealed that they never see any unfamiliar adult caring for children at the facility. Parents constantly see the same teachers, or the new staff or teachers would be introduced to them. Interviewed with children were also revealed that they were familiar with all staff and teachers at the facility, and never see any unfamiliar adults around the children at the facility.

The facility was also alleged that the staff did not notify parents of the incidents. Interview with the supervisor and staff revealed that facilities communicated with the parents all the time through verbal communication during drop off or pick up, email, incident report, or phone call. Parents who were interviewed also revealed that the staff communicated really well with the parents, and they informed them of everything. Parents did not have any concerns regarding this.

Based on the information obtained throughout the course of this investigation the above allegations, LPA Tjhia determined that the complaint was found to be UNSUBSTANTIATED, meaning although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted with the Licensee Representative. A notice of site visit was posted by LPA and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Erwin Tjhia
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4