233009652-4-29-2025-01-CC-MAUN-DGXMGS-20250523093622

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 233009652
Report Date: 04/29/2025
Date Signed: 04/29/2025 12:06:42 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC 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
03/04/2025 and conducted by Evaluator Robert Maciel

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20250304151323

FACILITY NAME:	POLLIWOG PLAYSCHOOL		FACILITY NUMBER:	233009652
ADMINISTRATOR:	RICCA, WANDA		FACILITY TYPE:	850
ADDRESS:	19201 DEL MAR DRIVE		TELEPHONE:	(707) 961-0874
CITY:	FORT BRAGG	STATE: CA	ZIP CODE:	95437
CAPACITY:	45	CENSUS: 39	DATE:	04/29/2025
		UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Wanda Ricca		TIME COMPLETED:	12:16 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Licensee did not ensure that all adults at the childcare were fingerprint cleared

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA), Robert Maciel made an unannounced Complaint Investigation visit and met with the Licensee, Wanda Ricca. It is alleged that an adult without a fingerprint clearance was present at the facility.

During today's visit, LPA interviewed children (C1 - C5) and reviewed faciltiy records. Interviews with staff and children from 3/12/25 - 4/29/25 do not corroborate the allegation. Observations by LPA show that all staff present during the investigation visit on 3/12/25 and 4/29/25 possessed fingerprint clearances and were associated to the facility.

Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, and the findings are unsubstantiated. Exit interview was conducted and report was read and reviewed with Licensee, Wanda Ricca. The Notice of Site Visit must be posted for 30 days. Failure to do so shall result in an immediate civil penalty of $100.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Robert Maciel
LICENSING EVALUATOR SIGNATURE:	DATE: 04/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2025

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 1