Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393620823
Report Date: 06/12/2017
Date Signed 06/12/2017 10:52:24 AM


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/02/2017 and conducted by Evaluator Kiriko Pratt
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20170502164021
FACILITY NAME:CAPC - GOLDEN WESTFACILITY NUMBER:
393620823
ADMINISTRATOR:SILVA, REBECCAFACILITY TYPE:
850
ADDRESS:1031 NORTH MAIN STREETTELEPHONE:
(209) 644-5311
CITY:MANTECASTATE: CAZIP CODE:
95336
CAPACITY:24CENSUS: 9DATE:
06/12/2017
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Jade MeihlTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal rights - Staff member yells at children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Kiriko Pratt conducted a closing complaint investigation, and met with Program Manager Jade Meihl. During the investigation, LPA had interviewed Site Coordinator, staff, children, parents, and CAPC program management staff regarding the nature of the complaint. LPA also collected documentation and records related to the complaint, and observed care and supervision provided to children by Site Coordinator and staff during the investigation.

It was alleged that a staff member yelled at children. The CAPC program management staff stated that although it was alleged that a staff member yelled at children, which had also been separately reported to them, they conducted an investigation, including multiple classroom observations and staff and parent interviews, and did not find evidence of yelling or any inappropriate verbal conduct from teachers towards children. Based on interviews, documentation, and other information gathered, LPA found there was not a preponderance of evidence to prove or negate the allegation, therefore the allegation is unsubstantiated. LPA reviewed report with the Program Manager Jade Meihl and Site Coordinator Veronica Kelley, Exit Interview conducted, and Notice of Site Visit posted. No Title 22 deficiencies were cited during today's visit.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Monica R FiliceTELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Kiriko PrattTELEPHONE: (916) 216-7793
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2017
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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