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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 483008864
Report Date: 08/28/2024
Date Signed: 08/28/2024 11:47:22 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO CC RO, 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
08/27/2024 and conducted by Evaluator Elizabeth Friese
COMPLAINT CONTROL NUMBER: 13-CC-20240827090732

FACILITY NAME:CASOVIA, CLARICE FCCHFACILITY NUMBER:
483008864
ADMINISTRATOR:CASOVIA, CLARICEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 372-9879
CITY:VACAVILLESTATE: CAZIP CODE:
95688
CAPACITY:14CENSUS: 6DATE:
08/28/2024
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Clarice CasoviaTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Licensee operating out of ratio
INVESTIGATION FINDINGS:
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On 8/28/24 at 9:45am, Licensing Program Analyst (LPA) Elizabeth Friese conducted an unannounced complaint inspection, and met with licensee Clarice Casovia. It was alleged that she operates out of ratio.
The licensee was interviewed on 8/28/24 at 9:50am and admitted to operating out of ratio at various times.

Based on the evidence obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, (Title 22), is being cited on the attached LIC 9099D.

Exit interview conducted and report was reviewed with the licensee Clarice Casovia. Appeal rights were provided.
A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Substantiated
Estimated Days of Completion: 60
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Elizabeth Friese
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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Control Number 13-CC-20240827090732
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO CC RO, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: CASOVIA, CLARICE FCCH
FACILITY NUMBER: 483008864
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/28/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/28/2024
Section Cited
CCR
102416.5(a)
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102416.5 Staffing Ratio and Capacity
(a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.
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Licensee will provide attestation to operate within ratio requirements to CCLD by 9/28/2024.
elizabeth.friese@dss.ca.gov
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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: Erin Virrueta
LICENSING EVALUATOR NAME: Elizabeth Friese
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4