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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 173007363
Report Date: 04/07/2021
Date Signed: 04/27/2021 07:59:28 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
11/10/2020 and conducted by Evaluator Leticia Rosales
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20201110124111
FACILITY NAME:HERNANDEZ, HERLINDA FCCHFACILITY NUMBER:
173007363
ADMINISTRATOR:HERNANDEZ, HERLINDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 530-9141
CITY:FINLEYSTATE: CAZIP CODE:
95435
CAPACITY:14CENSUS: 0DATE:
04/07/2021
UNANNOUNCEDTIME BEGAN:
06:30 PM
MET WITH:Herlinda HernandezTIME COMPLETED:
07:00 PM
ALLEGATION(S):
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Child was left in dirty and soiled clothing.

Children in care not treated with dignity.

Children contracted food poisoning while in care.

Children contracted lice while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Leticia Rosales-Meza conducted a subsequent complaint tele-investigation video conference with Herlinda Hernadez, Licensee for the purpose of delivering complaint investigation findings. Due to COVID-19, the Department has suspended field operations, and Licensee has agreed to attend a FaceTime video
tele-inspection in place of an in-person, site visit. It has been alleged that a child was left in dirty and soiled clothing, specifically that when parent picked Child 1 (C1) up from the facility one day, found C1 had pee all over and C1 was very dirty. It has been alleged that children in care not treated with dignity, specifically that the Licensee mistreats the children and yells at C1 and C2 all of the time. It has been alleged that children contracted food poisoning while in care, specifically that C1 and C2 have had food poisoning from eating the food provided by the licensee and now C1 and C2 are afraid to eat there. It has been alleged that children contracted lice while in care, specifically that C2 has contracted lice and has had it recurrently for a long time, and that C1 has also contracted lice, but has manage to keep it at bay because of C1's haircut.

During the initial investigation an interview was conducted with Licensee on 11/19/20 at 04:30 PM. The Licensee denied the allegations.

Continue on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Alexis HollonTELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Leticia RosalesTELEPHONE: (707) 588-5061
LICENSING EVALUATOR SIGNATURE:

DATE: 04/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2021
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 01-CC-20201110124111
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: HERNANDEZ, HERLINDA FCCH
FACILITY NUMBER: 173007363
VISIT DATE: 04/07/2021
NARRATIVE
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Licensee stated that she has never left a child in dirty and soiled clothing. Licensee stated that she always has extra clean clothing just in case the parent's don't bring extra clothing. Licensee stated that she always treats all the children with dignity and respect and has never yelled and C1 and C2, she gives the children lots of love, all the children seem very happy and love it there. Licensee stated that children have never contracted food poisoning while in her care. Licensee stated that she makes fresh food every day and that she belongs to the Food Program at NCO (North Coast Opportunities) and staff come out to inspect the meals. Licensee stated that children have not contacted lice while in her care. Licensee stated that she was having an issue with C1 and C2, they were coming to day care with lice and right away she would call the parent to pick C1 and C2 so they will not contracted to the other children. Licensee stated that the issue has been resolved due to she told C1 and C2's parent that she will not accept the children if they have lice.

An interview was conducted with Parent 1 (P1) on 4/08/21 at 12:30 PM.

During the tele-inspections, the LPA did not observe any of the children in dirty or soiled clothing, nor being mistreated. LPA observed Licensee and assistant, spouse supervising all the day care children in a large play room and the children seemed very happy. Licensee and assistant were giving the day care children a lot of their attention.

Based on interviews conducted and records reviewed, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, therefore the allegations are Unsubstantiated.

LS’s signature was not recorded on this Complaint Investigation Report (CIR), however, this report was reviewed and discussed with LS, LS was provided with a copy of this CIR; and Appeal Rights, LS’s signature will be on file. All licensing reports are public information and must be made available upon request for at least three years.

There were no Title 22 deficiencies cited during today's video inspection.
SUPERVISOR'S NAME: Alexis HollonTELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Leticia RosalesTELEPHONE: (707) 588-5061
LICENSING EVALUATOR SIGNATURE:

DATE: 04/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2