<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 515402793
Report Date: 03/16/2022
Date Signed: 03/16/2022 03:03:04 PM

Substantiated


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
02/23/2022 and conducted by Evaluator Nicolette Cunningham
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20220223085947
FACILITY NAME:ANDRUS FAMILY CHILD CARE HOMEFACILITY NUMBER:
515402793
ADMINISTRATOR:ANDRUS, MARILYNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 682-2266
CITY:YUBA CITYSTATE: CAZIP CODE:
95993
CAPACITY:14CENSUS: 6DATE:
03/16/2022
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Marilyn Andrus, LicenseeTIME COMPLETED:
11:55 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Adult on parole living on the property
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
A follow-up complaint investigation was made by Licensing Program Analyst (LPA), J. Helton and N. Cunningham to deliver complaint investigation findings. This complaint was investigated by the Department’s Investigative Branch (IB) Investigator, M. Burgoon. It was alleged that an adult (Adult #1 - Confidential Name LIC 811) who is on parole is living on the property. Documents obtained confirmed that Adult 1 is currently on parole. On 03/02/22, Investigator Burgoon observed Adult 1 sleeping in a bedroom in the home while there were approximately 6 children in care. Adult 1 stated that they will visit the home once or twice a week. Adult 1 claims they sometimes park their car in the driveway and sleep in their car. Documentation was obtained that confirmed that Adult 1 was at the property during daycare hours on 8/11/21, 9/14/21, and 1/24/22.

LPA Cunningham reviewed Department records on 03/02/22 and 03/08/22, and Department records revealed that Adult 1 did not obtain criminal record clearance prior to residing on the property.

Continued on 9099C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Nicolette Cunningham
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2022
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 4
Control Number 13-CC-20220223085947
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: ANDRUS FAMILY CHILD CARE HOME
FACILITY NUMBER: 515402793
VISIT DATE: 03/16/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Based on Investigator M. Burgoon’s observations and interviews and record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. LPA assessed an immediate $500 Civil Penalty due to the Licensee not ensuring that Adult 1 obtained a criminal record clearance prior to residing in the home. California Code of Regulations, Title 22, Division & Chapter number), is being cited on the attached LIC 9099D. Appeal rights were provided and exit interview conducted. The Notice of Site Visit must be posted for 30 days.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Nicolette Cunningham
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 13-CC-20220223085947
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: ANDRUS FAMILY CHILD CARE HOME
FACILITY NUMBER: 515402793
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/16/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/17/2022
Section Cited
CCR
102370(d)(1)
1
2
3
4
5
6
7
All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department
1
2
3
4
5
6
7
Licensee stated that Adult 1 was not living on the property and that they received incorrect information from another agency about Adult 1 residing on the property. Licensee reviewed Regulation 102370 and signed stating that she has read and understands the regulation.
8
9
10
11
12
13
14
This requirement is not met as evidenced by: On 03/02/22, Investigator Burgoon observed Adult 1, at the FCCH while six children were in care. Adult 1 stated that they sometimes park their car in the driveway and sleep in their car. This poses an immediate health, safety, or personal rights risk to the children in care and an immediate $500 Civil Penalty has been assessed.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Nicolette Cunningham
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 4
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
02/23/2022 and conducted by Evaluator Nicolette Cunningham
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20220223085947

FACILITY NAME:ANDRUS FAMILY CHILD CARE HOMEFACILITY NUMBER:
515402793
ADMINISTRATOR:ANDRUS, MARILYNFACILITY TYPE:
810
ADDRESS:2677 YOUNG ROADTELEPHONE:
(530) 682-2266
CITY:YUBA CITYSTATE: CAZIP CODE:
95993
CAPACITY:13CENSUS: 6DATE:
03/16/2022
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Marilyn Andrus, LicenseeTIME COMPLETED:
11:55 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Adult doing illegal drugs on the property
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
A follow-up complaint investigation was made by Licensing Program Analyst (LPA), J. Helton and N. Cunningham to deliver complaint investigation findings. This complaint was investigated by the Department’s Investigative Branch (IB) Investigator, M. Burgoon. It was alleged that an adult (Adult #1 - Confidential Name LIC 811) was doing drugs on the property. On 03/02/22, Investigator M. Burgoon observed Adult 1 sleeping in a bedroom in the home while there were approximately 6 children in care. The licensee and Adult 1 denied the allegations. During the investigation, Investigator M. Burgoon did not observe drugs or drug paraphernalia at the facility.

During the complaint investigation by Investigator M. Burgoon, interviews were conducted with the facility’s licensee, children, and other members of the public. No evidence was obtained to indicate Adult 1 used drugs at the facility.

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. Appeal rights were provided and an exit interview was conducted. The Notice of Site Visit must be posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Nicolette Cunningham
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 4