173007616-2-1-2023-01-CC-LLEI-CP23HW-20230213171637

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 173007616
Report Date: 02/01/2023
Date Signed: 02/01/2023 12:17:22 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/06/2022 and conducted by Evaluator Sebastian Phouthavong

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20221206163712

FACILITY NAME:	LEARNING HOUSE - P/S, THE		FACILITY NUMBER:	173007616
ADMINISTRATOR:	ANNA ROSE MONTANEZ		FACILITY TYPE:	850
ADDRESS:	14840 BURNS VALLEY ROAD		TELEPHONE:	(707) 995-2076
CITY:	CLEARLAKE	STATE: CA	ZIP CODE:	95422
CAPACITY:	65	CENSUS: 35	DATE:	02/01/2023
		UNANNOUNCED	TIME BEGAN:	11:20 AM
MET WITH:	Anna Rose Montanez		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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Staff did not ensure that child's diapering needs are being met

INVESTIGATION FINDINGS:

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A follow-up complaint investigation visit was made today by Licensing Program Analyst (LPA), Sebastian Phouthavong to deliver complaint investigation findings. LPA Yang previously conducted an initial investigation visit on 12/07/2022 and LPA, Sebastian Phouthavong made an investigation visit on 12/21/2022. It was alleged that Staff did not ensure that child's diapering needs are being met; specifically, a child came home with a diaper rash but did not have a diaper rash before being dropped off at the facility.
The LPA met with the facility’s director Anna Rosa Montanez today to discuss the investigation findings. The facility was toured inside and out. There were 35 children being supervised by 10 staff members at the facility during the time.

During the course of investigation, LPA conducted interviews with the Director, 4 staff members, and 3 parents. The director denied the allegations, stating staff follow the facility’s diaper policy ensuring that all children’s diaper needs are being met.
(Continued on LIC 9099)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Leslie Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Sebastian Phouthavong	TELEPHONE: 707-588-5056
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2023

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-20221206163712

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: LEARNING HOUSE - P/S, THE	FACILITY NUMBER: 173007616
	VISIT DATE: 02/01/2023

NARRATIVE

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(Continued from LIC 9099)
The director and staff members’ statements indicated that the staff check children’s diapers every two hours, unless necessary and documents when checked with notes on diaper logs. The director and staff members stated the facility does have diapers at the facility to provide for day care children if parents are not able to provide them. Two interviews from parents stated their children did receive diaper rashes but cannot confirm if it was due to staff not ensuring children’s diaper needs are being met. Overall, parents did not have any current concerns about the facility.

Based on the information gathered during this investigation, there is not a preponderance of evidence to support the allegation. The allegation is determined to be unsubstantiated. There were no Title 22 deficiencies cited. This report was reviewed and discussed with the facility’s Site Supervisor, Anna Rosa Montanez. Appeal rights were provided. Notice of Site Visit shall be posted for 30 days from today's visit.

SUPERVISOR'S NAME: Leslie Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Sebastian Phouthavong	TELEPHONE: 707-588-5056
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2023

LIC9099 (FAS) - (06/04)

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