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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 173002029
Report Date: 06/10/2021
Date Signed: 06/18/2021 03:24:38 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/02/2021 and conducted by Evaluator Nicolette Cunningham
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20210202140118
FACILITY NAME:CABREROS, CATHY FAMILY CHILD CARE HOMEFACILITY NUMBER:
173002029
ADMINISTRATOR:CABREROS, CATHYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 994-9146
CITY:CLEARLAKESTATE: CAZIP CODE:
95422
CAPACITY:14CENSUS: 6DATE:
06/10/2021
UNANNOUNCEDTIME BEGAN:
01:55 PM
MET WITH:Cathy Cabreros, LicenseeTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Licensee yells at a daycare child while in care
INVESTIGATION FINDINGS:
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On 06/10/21, Licensing Program Analyst (LPA) N. Cunningham met with Licensee Cabreros to deliver complaint findings. The meeting was conducted via tele-inspection due to the current pandemic. It is alleged that the licensee yells at day care children. On 2/12/21 the licensee discussed the allegation with LPA O'Connell and denied yelling at children. On 6/2/21 beginning at 3:00pm, LPA Cunningham conducted a subsequent with the licensee who again denied the allegation. During the investigation, interviews were conducted with Adult 1 on 5/6/21 beginning at 1:20pm, Adult 2 on 5/18/21 beginning at 7:30pm, Adult 3 on 6/9/21 beginning at 12:07pm, Adult 6 on 5/19/21 beginning at 10:52, Adult 7 on 5/24/21 beginning at 10:00am, Adult 9 on 6/7/21 beginning at 5:33pm, and Child 4. Interviews conducted with three adults (Adult 2, 3, and 7) and one child corroborate that Licensee Cabreros has yelled at day care children on multiple occasions.
* Continued on 9099C
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Nicolette CunninghamTELEPHONE: (707) 588-5056
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2021
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 5
Control Number 01-CC-20210202140118
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928
FACILITY NAME: CABREROS, CATHY FAMILY CHILD CARE HOME
FACILITY NUMBER: 173002029
VISIT DATE: 06/10/2021
NARRATIVE
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Based on the information gathered during this investigation, there is a preponderance of evidence to prove that the licensee has yelled at day care children. The allegation is determined to be Substantiated. This report was read and discussed with the licensee. Appeal rights provided. The following Type B violation of the California Code of Regulations, Title 22; Division 12, Chapter 1 was cited: See 809D for citation.

Notice of Site Visit shall be posted for 30 days from today's visit.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Nicolette CunninghamTELEPHONE: (707) 588-5056
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 01-CC-20210202140118
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928

FACILITY NAME: CABREROS, CATHY FAMILY CHILD CARE HOME
FACILITY NUMBER: 173002029
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/10/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/21/2021
Section Cited
CCR
102423(a)1
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(1) To be treated with dignity in his/her personal relationship with staff and other persons.
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Licensee stated she will not yell at children in care. The licensee said she plan on meeting with staff and children to discuss communication and circle time. The licensee will send notes from the meeting by 06/21/21 via email, fax or mail.
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This requirement is not met as evidenced by: Based on information obtained during interviews that corroborates the allegation that the licensee yells at children in care. This poses a potential health, safety or personal rights risk to the children in care.
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Email: nicolette.cunningham@dss.ca.gov
Public Email: cclrpregionalofficegeneral@dss.ca.gov
Fax: 707-588-5099
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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.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Nicolette CunninghamTELEPHONE: (707) 588-5056
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/02/2021 and conducted by Evaluator Nicolette Cunningham
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20210202140118

FACILITY NAME:CABREROS, CATHY FAMILY CHILD CARE HOMEFACILITY NUMBER:
173002029
ADMINISTRATOR:CABREROS, CATHYFACILITY TYPE:
810
ADDRESS:15226 TAFTTELEPHONE:
(707) 994-9146
CITY:CLEARLAKESTATE: CAZIP CODE:
95422
CAPACITY:14CENSUS: 6DATE:
06/10/2021
UNANNOUNCEDTIME BEGAN:
01:55 PM
MET WITH:Cathy Cabreros, LicenseeTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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9
Licensee spanks a day care child while in care

Licensee mishandles a day care child while in care
INVESTIGATION FINDINGS:
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On 06/10/21, Licensing Program Analyst (LPA) N. Cunningham met with Licensee Cabreros to deliver complaint findings. The meeting was conducted via tele-inspection due to the current pandemic. It is alleged that the licensee spanks a day care child and that the licensee mishandles a day care child. On 2/12/21, the licensee discussed the allegation with LPA O'Connell and denied both allegations. On 6/2/21 at 3:00pm, LPA Cunningham conducted a subsequent interview with the licensee who again denied the allegation. During the investigation, interviews were conducted with Adult 1 on 5/6/21 beginning at 1:20pm, Adult 2 on 5/18/21 beginning at 7:30pm, Adult 3 on 6/9/21 beginning at 12:07pm, Adult 6 on 5/19/21 at 10:52pm, Adult 7 on 5/24/21 beginning at 10:00am, Adult 9 on 6/7/21 beginning at 5:33pm, and Child 4. Interviews with parents, staff, and child did not provide corroborating evidence to meet the preponderance of evidence threshold standard and therefore the allegations are unsubstantiated. Licensee's signature is not on file, however, a copy of this Complaint Investigation Report (LIC 9099) was provided to Licensee; and confirmation of receipt is on file. There were no Title 22 deficiencies cited regarding the two allegations noted above. Appeal Rights were provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Nicolette CunninghamTELEPHONE: (707) 588-5056
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2021
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 5