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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 585405321
Report Date: 11/19/2021
Date Signed: 11/19/2021 11:27:07 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
09/03/2021 and conducted by Evaluator Kirk Marks
COMPLAINT CONTROL NUMBER: 13-CC-20210903142043
FACILITY NAME:FOSTER, TIA FAMILY CHILD CARE HOMEFACILITY NUMBER:
585405321
ADMINISTRATOR:FOSTER, TIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 741-9609
CITY:PLUMAS LAKESTATE: CAZIP CODE:
95961
CAPACITY:14CENSUS: DATE:
11/19/2021
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Licensee, Tia FosterTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Licensee retaliated against children and their authorized representatives for a complaint filed with licensing.
INVESTIGATION FINDINGS:
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A follow-up unannounced complaint investigation inspection was made to the facility by Licensing Program Analyst (LPA) Kirk Marks on 11/19/2021 at 11:00am for the purpose of delivering complaint findings. It was alleged that licensee retaliated against a child or children and their authorized representatives by dropping a child or children from care. Licensee was interviewed on 9/15/2021 at 11:30am and licensee stated that she dropped children from care because she wanted to downsize and only care for children who are enrolled full time. Licensee stated not knowing who made the original complaint against her. LPA reviewed the child roster and observed that only part time children were disenrolled from care prior to the inspection at the home. LPA conducted telephone interviews with seven parents (P1 – P7) of children enrolled at the family child care home. None of the seven stated having any knowledge of children being dropped from care as a retaliatory action.
(continued on page 1)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Kirk Marks
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2021
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-20210903142043
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: FOSTER, TIA FAMILY CHILD CARE HOME
FACILITY NUMBER: 585405321
VISIT DATE: 11/19/2021
NARRATIVE
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(continued from page 2)

Through interviews and record reviews LPA was not able to determine that licensee retaliated against children and their authorized representatives due to a complaint being filed.

The agency has investigated the complaint alleging licensee retaliated against a child and their authorized representative. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the allegation 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: Kirk Marks
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2