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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 525406734
Report Date: 12/01/2021
Date Signed: 12/01/2021 01:00:37 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
11/29/2021 and conducted by Evaluator Carrie Wisehart
COMPLAINT CONTROL NUMBER: 13-CC-20211129120305
FACILITY NAME:ARVIG, KAREN FAMILY CHILD CARE HOMEFACILITY NUMBER:
525406734
ADMINISTRATOR:ARVIG, KARENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 526-6440
CITY:RED BLUFFSTATE: CAZIP CODE:
96080
CAPACITY:14CENSUS: 1DATE:
12/01/2021
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Wes ArvigTIME COMPLETED:
10:50 AM
ALLEGATION(S):
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The licensee no longer resides at the home
INVESTIGATION FINDINGS:
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The unannounced facility inspection was conducted by Licensing Program Analyst, Carrie Wisehart. It was alleged that the licensee no longer resides at the home.
LPA met with Wes Arvig and discussed the allegations. The staff gave the LPA a facility tour and interviews were conducted. The interviews confirmed that the license has not resided at the home for several months and currently is out of state. The terms of a family child care home includes that the licensee lives on site, therefore, the license becomes void when the licensee moves out. The LPA discussed the difference between exempt care and licensed care with Wes Arvig who indicated he understood.
Based on the evidence obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated.
The following violation(s) of the California Code of Regulations, Title 22; Division 12, were observed: see LIC 809D. Appeal Rights were provided. Reports citing Type A violations are to be provided to parents/guardians of children currently in enrolled and to parents/guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must sign Form LIC9224 to be kept in each child's file.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Carrie Wisehart
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2021
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-20211129120305
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: ARVIG, KAREN FAMILY CHILD CARE HOME
FACILITY NUMBER: 525406734
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/01/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/01/2021
Section Cited
CCR
102417(a)
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Operation of a Family Child Care Home 102417(a)The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence.
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Licensee no longer lives in home resulting in the license being closed effective 12/1/2021.
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 Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day. This requirement was not met as evidenced by: Based on interviews the licensee moved out of state a few months ago.
This poses an immediate health, safety or personal rights risk to persons in care.
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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: Megan Aviles
LICENSING EVALUATOR NAME: Carrie Wisehart
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2021
LIC9099 (FAS) - (06/04)
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