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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 WEST		FACILITY NUMBER:	393620823
ADMINISTRATOR:	SILVA, REBECCA		FACILITY TYPE:	850
ADDRESS:	1031 NORTH MAIN STREET		TELEPHONE:	(209) 644-5311
CITY:	MANTECA	STATE: CA	ZIP CODE:	95336
CAPACITY:	24	CENSUS: 9	DATE:	06/12/2017
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Jade Meihl		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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9

Personal rights - Staff member yells at children

INVESTIGATION FINDINGS:

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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 Filice	TELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Kiriko Pratt	TELEPHONE: (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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