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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 515407891
Report Date: 02/01/2024
Date Signed: 02/01/2024 09:12:59 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
09/19/2023 and conducted by Evaluator Bianca Mendez
COMPLAINT CONTROL NUMBER: 13-CC-20230919091334
FACILITY NAME:SHIELER, ELLISA FAMILY CHILD CARE HOMEFACILITY NUMBER:
515407891
ADMINISTRATOR:SHIELER, ELLISAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 551-3226
CITY:YUBA CITYSTATE: CAZIP CODE:
95991
CAPACITY:14CENSUS: 0DATE:
02/01/2024
UNANNOUNCEDTIME BEGAN:
08:48 AM
MET WITH:Ellisa ShielerTIME COMPLETED:
09:12 AM
ALLEGATION(S):
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Child sustained an unexplained bruise while in care.
INVESTIGATION FINDINGS:
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On 2/1/24 at 9:03am, Licensing Program Analyst (LPA) Mendez and LPA Sims conducted an unannounced complaint inspection and met with licensee Ellisa Shieler. It was alleged that child sustained an unexplained bruise while in care.

LPA interviewed licensee on 9/22/23 at 8:31am and stated that no children have sustained any injuries while in care. The licensee stated that they usually inform parents during pick up if their child falls down and if it’s a severe injury then licensee will call them.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2024
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-20230919091334
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: SHIELER, ELLISA FAMILY CHILD CARE HOME
FACILITY NUMBER: 515407891
VISIT DATE: 02/01/2024
NARRATIVE
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LPA interviewed staff S1-S2 on 9/22/23 and 11/17/23. LPA addressed the allegation and S1 stated that they were not aware of any children that have been injured or sustained any bruising. S2 stated that they were aware of a child (C1) who had sustained a bruise but did not observe any bruises or marks while in care. S1 stated that if a child gets hurt then licensee will communicate with the parents. S2 stated that if a child gets hurt then they can document on the Brightwheel app and parents receive a notification.

LPA interviewed parents (P1-P6) on 9/21/23, 10/27/23 and 11/21/23. LPA addressed the allegation with parents, 1 of 6 parents stated that their child sustained a bruise. P1 stated that the noticed that C1 had a bruise on their arm when they picked C1 from child care. P1 stated that they asked the licensee what happened and the licensee did not know anything about the bruise on C1’s arm and licensee’s assistant also did not know anything about the bruise. P1 stated that they did not receive a incident report for C1’s bruise.


LPA interviewed children (C1-C4) on 9/22/23 and 10/16/23 only 2 of 4 children were able to be interviewed by LPA. C2 stated that they saw their friend C1 fall down one time. C2 stated they saw C1 fall down one time but did not cry. C3 stated that they fell down on their elbow but did not break any bones. C3 stated that they did not see C1 fall and get hurt.

During today’s visit facility was toured. LPA observed 0 children in care.

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. An exit interview was conducted. The Notice of Site Visit must be posted for 30 days.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Bianca Mendez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2