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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 233009679
Report Date: 06/04/2019
Date Signed: 07/11/2019 07:39:48 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
04/05/2019 and conducted by Evaluator Christopher Arnhold
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20190405151001

FACILITY NAME:IMAGINATION STATION-INFANT CENTERFACILITY NUMBER:
233009679
ADMINISTRATOR:RODRIGUEZ, SAPRINAFACILITY TYPE:
830
ADDRESS:262 EAST COMERCIAL STREETTELEPHONE:
(707) 459-6543
CITY:WILLITSSTATE: CAZIP CODE:
95490
CAPACITY:52CENSUS: 13DATE:
06/04/2019
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Saprina RodriguezTIME COMPLETED:
09:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
-Facility not meeting daycare child's diapering needs
-Facility is out of ratio
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) C. Arnhold made a subsequent complaint investigation inspection, for the purpose of delivering complaint findings, and met with the Saprina Rodriguez.
LPA interviewed Staff #1 to Staff #4 on 04/08/2019 at 12:45 p.m.
It is alleged that facility staff are not meeting daycare child’s diapering needs, specifically that C1 had a diaper rash on 02/11/2019. Staff stated they change every infant diaper on the hour or as needed and staff always wash their hands after changing a child’s diaper.
It is alleged that the facility is out of ratio. On 4/08/2019, LPA Trinh observed six staff supervising 20 children in the Toddler classroom, therefore the facility was operating within ratio and staff stated they are usually above numbers in staffing. On 06/04/2019, LPA Arnhold observed the facility to be operating within ratio with 4 teachers and 1 aide supervising 13 children. Based on the information gathered during this investigation, there is insufficient information to prove or disprove the allegations as reported. There is not a preponderance of the evidence to prove the allegations, therefore the findings are determined to be unsubstantiated. Notice of Site Visit shall be posted for 30 days from today's visit.
There were no Title 22 deficiencies cited during today's inspection. This report was reviewed and discussed with Licensee. Appeal Rights were provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Christopher ArnholdTELEPHONE: (707) 588-5056
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2019
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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