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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393611645
Report Date: 09/05/2024
Date Signed: 09/05/2024 01:45:39 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
08/16/2024 and conducted by Evaluator Erwin Tjhia
COMPLAINT CONTROL NUMBER: 53-CC-20240816093702
FACILITY NAME:CAMP HUTCHINS OF LODI MEMORIAL HOSPITALFACILITY NUMBER:
393611645
ADMINISTRATOR:SANDRA ETHERTONFACILITY TYPE:
850
ADDRESS:125 SOUTH HUTCHINS STREETTELEPHONE:
(209) 334-2267
CITY:LODISTATE: CAZIP CODE:
95240
CAPACITY:53CENSUS: 22DATE:
09/05/2024
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Sandra JohnsonTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff left day care children unattended
Staff are threatening day care children
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPAs) Erwin Tjhia and Deborah Khashe, met with Site Supervisor, Sandra Jhonson to deliver findings of the complaint investigation regarding the above allegation.

Throughout the course of the investigation, LPA conducted interviews, and obtained pertinent information. It was alleged that staff left day care children unattended. Interviews with staff and children revealed that children were never left alone unattended and unsupervised. The interviews also revealed that staff would communicate and check with each other before leaving the children. Parents interviewed also revealed that they never experience children were left alone unsupervised at the facility. The interview also reveal that parents did not has any concern regarding supervision

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

DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2024
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 2
Control Number 53-CC-20240816093702
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: 09/05/2024
NARRATIVE
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Furthermore, it was alleged that staff are threatening day care children by telling that they would go to the hot room if they misbehave. Staff and parent interview revealed that they never heard or experience adult staff threatening children verbally. Children interview revealed that staff never threaten them and staff would offer different option or ask children to leave the activity if they were not listening. During the interview, Child #1 stated that a staff did tell children that they would go to the hot room if they were not listening, but it was not a threat. According to the child, the staff was being silly and made funny joke to make everyone laughing. Child # 1 stated that none of the friend were upset or scare because of that.

Based on the information obtained throughout the course of this investigation the above allegations, LPA Tjhia determined that the allegations were 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.



Exit interview was conducted. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Erwin Tjhia
LICENSING EVALUATOR SIGNATURE:

DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2