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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455407064
Report Date: 08/20/2021
Date Signed: 08/23/2021 10:56:20 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/21/2021 and conducted by Evaluator Bianca Mendez
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20210621135313
FACILITY NAME:GREAT ADVENTURESFACILITY NUMBER:
455407064
ADMINISTRATOR:ROBERTS, PATRICIAFACILITY TYPE:
850
ADDRESS:2220 BALLS FERRY ROADTELEPHONE:
(530) 378-5720
CITY:ANDERSONSTATE: CAZIP CODE:
96007
CAPACITY:30CENSUS: 9DATE:
08/20/2021
UNANNOUNCEDTIME BEGAN:
11:16 AM
MET WITH:Patricia RobertsTIME COMPLETED:
11:25 AM
ALLEGATION(S):
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Child sustained unexplained injuries while in care
INVESTIGATION FINDINGS:
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On 8/20/21 at 11:17am, Licensing Program Analyst (LPA) Mendez conducted an unannounced complaint inspection, and met with licensee/director Patricia Roberts it was alleged that child sustained unexplained injuries while in care
The licensee/administrator was interviewed on 7/1/21 at 10:00am and denied the allegation. Licensee/administrator stated that they previously had C1 enrolled for one day at the preschool. Licensee/administrator was informed that C1 does not nap and that C1 was prescribed sleeping medication. C1 sustained injuries during nap time and appeared to be that C1 was pinching their own skin. LPA Mendez interviewed S1 on 7/1/21 at 10:12am, S1 stated that C1 needed redirection and was fine up until nap time, C1 became upset during nap time. Staff were informed that child did not like nap time but were not aware of any other behavioral issues. LPA Mendez interviewed S2 on 8/18/21 at 9:30am, S2 stated that child did not want to nap and resulted with child kicking and screaming. S2 described child’s behavior when the lights went out during nap time, C1 decided to get up from their bed and run out of the room.
Report continued: see LIC 812

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2021
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 13-CC-20210621135313
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: GREAT ADVENTURES
FACILITY NUMBER: 455407064
VISIT DATE: 08/20/2021
NARRATIVE
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LPA Mendez addressed the allegation of child’s unexplained injuries, S2 stated that they noticed that C1 had marks on their skin after nap time and during snack time observed that C1 was scratching at their skin and pinching at their self. S2 stated that C1 bit and scratched at S3 as they tried to calm C1 during nap time. S3 was able to calm C1 by providing a doll and sat next to C1 during nap time.

LPA Mendez interviewed four parents on 8/2/21 and 8/16/21 and stated that they had no concerns with their children attending. They stated are notified if their child sustains any injuries at school. Records regarding incident were reviewed and photos were received.

Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, and the findings are unsubstantiated. An exit interview was conducted. The Notice of Site Visit must be posted for 30 days.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2