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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 283007874
Report Date: 09/22/2021
Date Signed: 09/22/2021 12:30:08 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/18/2021 and conducted by Evaluator Kevin O'Connell
COMPLAINT CONTROL NUMBER: 01-CC-20210518161258
FACILITY NAME:CHILDREN'S COTTAGE CHILD CARE, INC. - INFANTFACILITY NUMBER:
283007874
ADMINISTRATOR:TIFFANY KEARFACILITY TYPE:
830
ADDRESS:1078 EAST AVENUETELEPHONE:
(707) 224-3825
CITY:NAPASTATE: CAZIP CODE:
94559
CAPACITY:20CENSUS: 13DATE:
09/22/2021
UNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Tiffany KearTIME COMPLETED:
12:35 PM
ALLEGATION(S):
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Day care child sustained injury while in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kevin O’Connell made a subsequent complaint investigation visit and met with Director, Tiffany Kear (S1) on 9/22/21 to deliver the findings of the allegation noted above. LPA O’Connell previously met with S1 on 5/28/21 & 9/15/21 and discussed the details of the allegation. It was alleged that a day care child sustained an injury while in care because of a lack of supervision.
S1 denied the allegation on 5/28/21 & 9/15/21 stating that there is always staff supervising children and observed the child went to sleep on her arm that was bothering her after she woke up. S1 states that she usually sleeps this way until she turns over.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Kevin O'ConnellTELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2021
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 5
Control Number 01-CC-20210518161258
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA
FACILITY NAME: CHILDREN'S COTTAGE CHILD CARE, INC. - INFANT
FACILITY NUMBER: 283007874
VISIT DATE: 09/22/2021
NARRATIVE
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S1 self-reported the incident to CCL on 4/20/21. S1 acknowledges that an injury occurred but denies that it happened because of a lack of supervision.
Through the course of the investigation starting from 5/27/21 through 9/21/21, LPA interviewed five staff (S1- S5) including Director (S1), five parents (P1- P5). Some children were not too verbal or too young to interview.
Multiple statements by parents and staff did not report any concerns of lack of supervision or incidents where any children were left without staff supervision but parent (P-2) states that his child has had a number of unexplained scratches and bruises. There were no witnesses to the incident and no evidence to correlate the child’s injury to a lack or absence of supervision.
Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated.
This report was discussed and reviewed with the Director, S1. Appeal Rights were provided.
Notice of Site Visit must be posted for 30 days from today's inspection.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Kevin O'ConnellTELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/18/2021 and conducted by Evaluator Kevin O'Connell
COMPLAINT CONTROL NUMBER: 01-CC-20210518161258

FACILITY NAME:CHILDREN'S COTTAGE CHILD CARE, INC. - INFANTFACILITY NUMBER:
283007874
ADMINISTRATOR:TIFFANY KEARFACILITY TYPE:
830
ADDRESS:1078 EAST AVENUETELEPHONE:
(707) 224-3825
CITY:NAPASTATE: CAZIP CODE:
94559
CAPACITY:20CENSUS: 13DATE:
09/22/2021
UNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Tiffany KearTIME COMPLETED:
12:35 PM
ALLEGATION(S):
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Staff do not allow parent(s) to enter the facility
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kevin O’Connell made a subsequent complaint investigation visit and met with Director, Tiffany Kear (S1) on 9/22/21 to deliver the findings of the allegation noted above. LPA O’Connell previously met with S1 on 5/28/21 & 9/15/21 and discussed the details of the allegation. It was alleged that staff do not allow parents to enter the facility.
S1stated that on 5/28/21 & 9/15/21 that because of Covid this is their policy and that parents were told verbally and emailed the policy that they were not to enter the classrooms.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Kevin O'ConnellTELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 01-CC-20210518161258
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA
FACILITY NAME: CHILDREN'S COTTAGE CHILD CARE, INC. - INFANT
FACILITY NUMBER: 283007874
VISIT DATE: 09/22/2021
NARRATIVE
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Through the course of the investigation starting from 5/27/21 through 9/21/21, LPA interviewed five staff (S1- S5) including Director (S1), five parents (P1- P5) and made observations. Some children were not too verbal or too young to interview.
S1 stated that she did turn down a request from a parent who’s child was having behavior issues to observe her child from inside of the classroom and asked to observe through the window.
Multiple statements by parents and staff stated that parents were not to enter the classrooms. LPA observed signs on the classrooms that read "No visitors inside at this time. Staff and children only!!! Thank you."

The preponderance of evidence standard has been met; therefore, the above allegation is found to be substantiated. California Code of Regulations, Title 22, is being cited on the attached LIC 9099- D. Appeal rights were provided. An exit interview was conducted, and this report was read and discussed with the licensee. The Notice of Site Visit shall be posted for 30 days.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Kevin O'ConnellTELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 01-CC-20210518161258
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA

FACILITY NAME: CHILDREN'S COTTAGE CHILD CARE, INC. - INFANT
FACILITY NUMBER: 283007874
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/22/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/06/2021
Section Cited
CCR
101218.1(b)(1)
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At the time of acceptance of each child in care, the licensee shall inform each child's parent or authorized representative of his/her
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Director S1 stated that she will read Regulation 101218.1 and provide a written statement that she has read and understands the regulation, to CCL by 10/6/21.
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rights that include, but are not limited to, the following:
(1) To enter and inspect the child care center in accordance with Health and Safety Code Section 1596.857.
This requirement is not met by evidence by:
Director (S1) would not allow parents into the classroom, specifically a parent who wanted to observe their child’s behavior from inside the class. This poses a potential health and safety risk to the children in care.
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kevin.oconnell@dss.ca.gov

fax-(707) 588-5099
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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: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Kevin O'ConnellTELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2021
LIC9099 (FAS) - (06/04)
Page: 5 of 5