283005594-3-22-2021-01-CC-AHON-BZSRFZ-20210405125956

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 283005594
Report Date: 03/19/2021
Date Signed: 03/22/2021 09:09:05 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
11/06/2020 and conducted by Evaluator Leticia Rosales

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20201106112932

FACILITY NAME:	ILDEFONSO, ADRIANA FAMILY CHILD CARE HOME		FACILITY NUMBER:	283005594
ADMINISTRATOR:	ILDEFONSO, ADRIANA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(707) 254-0842
CITY:	NAPA	STATE: CA	ZIP CODE:	94558
CAPACITY:	14	CENSUS: 13	DATE:	03/19/2021
		UNANNOUNCED	TIME BEGAN:	04:45 PM
MET WITH:	Adriana Ildefonso		TIME COMPLETED:	05:30 PM

ALLEGATION(S):

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Licensee carries out unusual punishments.

Facility operating over capacity.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Leticia Rosales-Meza conducted a subsequent complaint tele-investigation video conference with Adriana Ildefonso, Licensee for the purpose of delivering complaint investigation findings. Due to COVID-19, the Department has suspended all field operations, and Licensee has agreed to attend a FaceTime video
tele-inspection in place of an in-person, site visit. Two previous investigation tele-inspections were conducted by the LPA on 11//13/20 and 11/16/20. It has been alleged that Licensee carries out unusual punishments, specifically enforces "time outs" where the children will sit facing a wall for hours, during which time they are not allowed to eat. It has been alleged facility is operating over capacity, specifically that on average there are 21-25 children in care at a time.

During the initial investigation an interview was conducted with Licensee on 11/13/20 at 04:30 PM. The Licensee denied the allegations. Licensee stated if the children are not listening or following directions, she utilizes time outs, but she talks to the child before she puts a child in time out, and only to the children who are old enough to understand and for only five minutes or less even if the child is older than five years old. Licensee stated children are always allowed to eat, she never has refused a child to eat. Licensee stated that she is not operating over capacity, she is a large day care, for fourteen. Licensee stated that she does have many children enrolled, but there are never more than fourteen children.
Continued LIC9099-C

Unsubstantiated

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: 03/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2021

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-20201106112932

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: ILDEFONSO, ADRIANA FAMILY CHILD CARE HOME	FACILITY NUMBER: 283005594
	VISIT DATE: 03/19/2021

NARRATIVE

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Interviews were conducted with Staff 1 (S1) and Children (C1 - C6) on 11/16/20 beginning at 4:00 PM. Interviews were conducted with six parents on 11/16/20. An interview was conducted with Parent 4 (P4) on 3/17/21 at 2:42 PM. An interview was conducted with Adult 2 (A2) on 11/17/20 at 2:19 PM. An interview was conducted with Adult 1 (A1) on 3/19/21 at 3:16 PM.

During the three tele-inspections, on 11/13/20, 11/16/20 and 3/19/21 LPA requested a tour of the facility and backyard. LPA observed six children on 11/13/20, LPA observed twelve children on 11/16/20 and LPA observed thirteen children on 3/19/20. LPA observed the Licensee and S1 attending to all the children and giving the children lot of attention and affection while playing in the play room and backyard. LPA observed some children doing their school distance learning.

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 allegation is 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 Hollon	TELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Leticia Rosales	TELEPHONE: (707) 588-5061
LICENSING EVALUATOR SIGNATURE:	DATE: 03/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2021

LIC9099 (FAS) - (06/04)

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