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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455407643
Report Date: 12/15/2022
Date Signed: 12/15/2022 09:56:15 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
09/19/2022 and conducted by Evaluator Bianca Mendez
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20220919141230
FACILITY NAME:FARGO, KENDRA FAMILY CHILD CARE HOMEFACILITY NUMBER:
455407643
ADMINISTRATOR:FARGO, KENDRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 646-5504
CITY:ANDERSONSTATE: CAZIP CODE:
96007
CAPACITY:14CENSUS: 2DATE:
12/15/2022
UNANNOUNCEDTIME BEGAN:
09:28 AM
MET WITH:Kendra FargoTIME COMPLETED:
10:05 AM
ALLEGATION(S):
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Licensee left day care child in soiled diaper for extended period of time
INVESTIGATION FINDINGS:
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On 12/15/22 at 9:28 am Licensing Program Analyst (LPA) Mendez conducted a subsequent visit for the purpose of delivering complaint findings.
The licensee was interviewed on 9/27/22 at 11:40am and stated that diaper changes occur every 2 hours and as needed. Licensee stated that she changes the diapers regardless if the child's diaper is wet or dry
.
Licensee provided LPA Mendez documentation that they were logging diaper changes for child (C1).

Continued on 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2022
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 2
Control Number 13-CC-20220919141230
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: FARGO, KENDRA FAMILY CHILD CARE HOME
FACILITY NUMBER: 455407643
VISIT DATE: 12/15/2022
NARRATIVE
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LPA Mendez interviewed six parents on (P1-P6) on 9/21/22, 9/27/22, 9/29/22, 10/26/22 and 11/17/22.
LPA Mendez asked parents (P1-P6) if their children have ever been sent home with a soiled paper. Two of six parents stated yes. LPA Mendez asked parents if they provide the diapers for their children in care 6 of 6 parents stated yes, they provide the diapers for their children. LPA Mendez asked parents if they had concerns about their children attending licensee’s family childcare, 3 of 6 parents stated yes, they had concerns.

During today’s inspection the home was toured and LPA Mendez observed two children in care.
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: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2