173002579-7-7-2021-01-CC-LLEI-C4PUXP-20210707155836

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 173002579
Report Date: 07/06/2021
Date Signed: 07/07/2021 11:55:49 AM

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
03/18/2021 and conducted by Evaluator Nicolette Cunningham

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20210318114116

FACILITY NAME:	NCO HEAD START - MEADOWBROOK CENTER		FACILITY NUMBER:	173002579
ADMINISTRATOR:	LUCCHESI, VALERIE		FACILITY TYPE:	850
ADDRESS:	6958 MEADOWBROOK AVENUE		TELEPHONE:	(707) 994-0854
CITY:	CLEARLAKE	STATE: CA	ZIP CODE:	95422
CAPACITY:	24	CENSUS: 0	DATE:	07/06/2021
		UNANNOUNCED	TIME BEGAN:	04:07 PM
MET WITH:	Hayshawn Frochi, Program Supervisor		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

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Facility staff handled a child roughly resulting in injury
Facility staff spoke inappropriately in front of daycare child
Facility staff discussed a child's confidential information in the presence of others

INVESTIGATION FINDINGS:

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On 07/06/21, Licensing Program Analyst (LPA) N. Cunningham met with Program Supervisor, Hayshawn Frochi to deliver complaint findings. The meeting was conducted via tele-inspection due to the current state of emergency regarding the COVID-19 outbreak. It was alleged that Staff 1 handled a child roughly resulting in injury, specifically, applying a tight grip on a child’s wrist which caused a bruise. It was also alleged that Staff 1 spoke inappropriate in front of a daycare child, specifically, questioning an adult’s parenting skills. Lastly, it was alleged that Staff 1 discussed a child’s confidential information in the presence of others. Staff 1 denied all the allegations and noted that they were not on campus on the date that the allegations were reported to have happened.

During the investigation, interviews were conducted with Adult 1 on 06/18/21 beginning at 2:47pm, Adult 2 on 6/30/21 beginning at 11:56am, Adult 3 on 06/30/21 beginning at 4:25pm, Adult 4 on 06/30/21 beginning at 5:32pm, Staff 1 on 05/13/21 beginning at 2:47pm, Staff 2 on 05/17/21 beginning at 10:30am, Staff 3 on 03/22/21 and 05/28/21 beginning at 9:45am, Staff 4 on 07/01/21 beginning at 9:15am, Staff 5 on 06/18/21

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Leslie Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Nicolette Cunningham	TELEPHONE: (707) 588-5056
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2021

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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Control Number 01-CC-20210318114116

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: NCO HEAD START - MEADOWBROOK CENTER	FACILITY NUMBER: 173002579
	VISIT DATE: 07/06/2021

NARRATIVE

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beginning at 1:20pm, Child 4 on 06/30/21 beginning at 05:32pm, Adult 5 on 07/06/21 beginning at 2:30pm, Child 5 on 07/06/21 beginning at 2:35pm, Child 6 on 07/06/21 and beginning at 2:40pm. On multiple occasions, LPA attempted to interview Child 1 and Child 3.

Interviews conducted with four staff (Staff 2, 3, 4, & 5) and four parents (Adult 2, 3, 4, and 5) reflects that Staff 1 interacts and communicates with children in a positive manner. LPA attempted to interview Child 1, Child 3, Child 4, Child 5, and Child 6, however, LPA was unable to qualify the children.

Interviews conducted with three staff member (Staff 2, Staff 3, Staff 4) and four parents (Adult 2, Adult 3, Adult 4, and Adult 5) reflects that parents and staff have not observed Staff 1 discuss inappropriate content in front of children or discuss confidential information in front of others. LPA attempted to interview Child 1, Child 3, Child 4, Child 5, and Child 6; however, LPA was unable to qualify the children.

Interviews with parents, staff, and the facility management did not provide corroborating evidence to meet the preponderance of evidence threshold standard and therefore the allegations are unsubstantiated. Program Supervisor signature is not on file, however, a copy of this Complaint Investigation Report (LIC 9099) was provided to Program Supervisor; and confirmation of receipt is on file.

There were no Title 22 deficiencies cited during today’s tele-investigation. Appeal Rights were provided.

SUPERVISOR'S NAME: Leslie Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Nicolette Cunningham	TELEPHONE: (707) 588-5056
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2021

LIC9099 (FAS) - (06/04)

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