233007705-8-11-2023-01-CC-AHON-CUPPFP-20230814111704

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 233007705
Report Date: 08/11/2023
Date Signed: 08/11/2023 03:12:01 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, 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
05/10/2023 and conducted by Evaluator Leticia Rosales

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20230510093926

FACILITY NAME:	REYNOSO/PALMERIN FAMILY CHILD CARE HOME		FACILITY NUMBER:	233007705
ADMINISTRATOR:	REYNOSO, CLAUDIA & PALMERI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(707) 463-8468
CITY:	UKIAH	STATE: CA	ZIP CODE:	95482
CAPACITY:	14	CENSUS: 13	DATE:	08/11/2023
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Claudia Reynoso and Osvaldo Palmerin		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Daycare child was sexually abused while in care.

Uncleared adult in home poses a potential risk to children.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Leticia Rosales conducted an unannounced complaint inspection for the purpose of delivering complaint findings and met with Licensees Claudia Reynoso and Osvaldo Palmerin. This complaint was investigated by the Department’s Investigations Branch (IB). It was alleged that a child was sexually abused while in care and that an uncleared adult in the home poses a potential risk to children. Interviews corroborate that Child 1 (C1) was continuously sexually abused by Child 2 (C2), due to lack of supervision, and that Adult 1 (A1) (formerly C2) lived in the home as an adult before obtaining a criminal record clearance.

The preponderance of evidence standard has been met; therefore, the above allegations are found to be Substantiated. Title 22 deficiencies are being cited on the attached LIC 9099D and civil penalties are being issued. Appeal rights were provided.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Alexis Hollon	TELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Leticia Rosales	TELEPHONE: (707) 588-5061
LICENSING EVALUATOR SIGNATURE:	DATE: 08/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2023

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-20230510093926

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: REYNOSO/PALMERIN FAMILY CHILD CARE HOME	FACILITY NUMBER: 233007705
	VISIT DATE: 08/11/2023

NARRATIVE

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Exit interview conducted, and report was reviewed with Licensees Claudia Reynoso and Osvaldo Palmerin.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. LPA Rosales informed Licensees Claudia Reynoso and Osvaldo Palmerin that this report dated, 8/11/23 documents two Type A citations which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care. LPA Rosales informed Licensees Claudia Reynoso and Osvaldo Palmerin to provide a copy of this licensing report dated, 8/11/23 that documents two Type A citations to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. An Acknowledgement of Receipt of Licensing Reports LIC 9224 form must be completed and signed by each parent/guardian and placed in each child's file for verification. LPA Rosales provided Licensees Claudia Reynoso and Osvaldo Palmerin with a copy of the LIC 9224 form.

SUPERVISOR'S NAME: Alexis Hollon	TELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Leticia Rosales	TELEPHONE: (707) 588-5061
LICENSING EVALUATOR SIGNATURE:	DATE: 08/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2023

LIC9099 (FAS) - (06/04)

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Control Number 01-CC-20230510093926

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: REYNOSO/PALMERIN FAMILY CHILD CARE HOME	FACILITY NUMBER: 233007705
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/11/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 08/11/2023 Section Cited CCR 102417(a)	1 2 3 4 5 6 7	Operation of a Family Child Care Home. The licensee shall be present in the home and shall ensure that children in care are supervised at all times.	1 2 3 4 5 6 7	Licensees stated children are always supervised at all times. The licensees stated children are now always kept in the same room, and one supervising adult stays in the room with the children while the supervising adult escorts children to the restroom.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by: Interviews corroborate that Child 1 (C1) was continuously sexually abused by Child 2 (C2), due to lack of supervision. This poses an immediate health and safety risk to the children in care.	8 9 10 11 12 13 14	A $500 Immediate Civil Penalty is being issued for injury (sexual abuse).
Type A 08/11/2023 Section Cited CCR 102370(d)	1 2 3 4 5 6 7	Criminal Record Clearance. All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department.	1 2 3 4 5 6 7	A1 received a criminal record clearance on 6/01/23. A $500 Civil Penalty is being issued for 5 days of A1 living in the home prior to a clearance.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by: Interviews corroborate that Adult 1 (A1) (formerly C2) lived in the home as an adult before obtaining a criminal record clearance.	8 9 10 11 12 13 14

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: Alexis Hollon	TELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Leticia Rosales	TELEPHONE: (707) 588-5061
LICENSING EVALUATOR SIGNATURE:	DATE: 08/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2023

LIC9099 (FAS) - (06/04)

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