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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 483002943
Report Date: 01/11/2024
Date Signed: 01/11/2024 11:12:53 AM

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
10/10/2023 and conducted by Evaluator Melchisedeck Augustin
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20231010124032
FACILITY NAME:HEAD START - MARIPOSAFACILITY NUMBER:
483002943
ADMINISTRATOR:ESCOBAR, DIEGOFACILITY TYPE:
850
ADDRESS:1625 ALAMO DRIVETELEPHONE:
(707) 387-6561
CITY:VACAVILLESTATE: CAZIP CODE:
95687
CAPACITY:44CENSUS: 19DATE:
01/11/2024
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Maria Valdez - Center DirectorTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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9
Staff left daycare child soiled in feces
Staff did not ensure child's pull-up was changed in a timely manner
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Melchisedeck Augustin made an unannounced Complaint-Investigation visit and met with Center Director (CD), Maria Valdez for the purpose of delivering findings for the above allegations. LPA previously met with the Program Operation Director (POD), April Del Rosario to initiate the investigation by discussing the purpose of the visit, conducting an interview with POD and staff; and requested personnel records and facility roster of the children in care. It is alleged that staff left daycare child soiled in feces and staff did not ensure child’s pull-up was changed in a timely manner. The report noted a child (C1) was left in undergarment that was soaked with urine and diarrhea and staff did not change C1 in a timely manner, resulting in the child sustaining multiple diaper rashes.

LPA interviewed POD, six staff (S1-S6), one child (C2), two adults (A2-A3), and four parents (P1-P4), starting on 10/19/23 through 01/09/24. POD denied claims about staff leaving C1 in undergarment that was soiled in feces and/or staff not changing children’s pull-ups in a timely manner. (Continue to LIC 9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melchisedeck AugustinTELEPHONE: (707) 494-4918
LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2024
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-20231010124032
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: HEAD START - MARIPOSA
FACILITY NUMBER: 483002943
VISIT DATE: 01/11/2024
NARRATIVE
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According to POD, she was unaware of any concerns related to staff not changing diapers or unaware of a child(ren) being left in diaper containing feces until the concern was raised to her attention by another individual. POD stated staff were required to change children’s diapers every two hours and as needed.

The statements provided by staff reported they had not seen any staff intentionally leave any child(ren) in soiled undergarment, staff claimed they checked and changed a child’s diaper every one to three hours in accordance with the facility’s communication log. A2 and P1-P2 & P4’s statements reported prior incidents of picking their child up in a heavily soiled diaper and adults and parents validated they either saw a parent pick up or they picked their child up with a soiled pull/diaper that contained large sum of feces. A2 reported on two or three occasions, A2 found his child in undergarment that contained a lot of feces, while P1-P2 & P4 stated between two through more than ten occasions, they picked up their child in a soiled diaper with a lot of feces. Furthermore, A2 and P1 reported their child sustained a consistent diaper rash as a result of their child being left in a diaper for long period(s); and some parties felt the staff were not performing their duties.

Based on the investigation, there’s a preponderance of evidence to show a consistent pattern of children’s diapers not being changed in a timely manner and children were left in a soiled diaper containing feces, and therefore, the above allegations are found to be SUBSTANTIATED. 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. The following violations of the California Code of Regulations, Title 22, Division 12 were cited during this visit. Appeal Rights were provided.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melchisedeck AugustinTELEPHONE: (707) 494-4918
LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 01-CC-20231010124032
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: HEAD START - MARIPOSA
FACILITY NUMBER: 483002943
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/11/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/22/2024
Section Cited
CCR
101223(a)(2)
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To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.

This requirement was not as evidenced by: Based on statements provided by A2, P1-P2 & P4 which confirmed their child was left in a soiled diaper/pull up that contained
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Center Director stated she intends to hold all staff meeting to address issue concerning diapering, and Director intends to produce a diapering schedule/log for staff to utilize to track diaper changes. Director stated she would submit a copy of the meeting agenda and staff attendance signature page, completed LIC 9098, and the diapering
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large sum of feces. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
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schedule/log to the Department by 01/22/24 via mail, email, or fax.

Email: melchisedeck.augustin@dss.ca.gov
Fax: 707-588-5080
Type B
01/18/2024
Section Cited
CCR
101230(a)(4)
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Each center shall provide a variety of daily activities designed to meet the needs of children in care, including but not limited to: Toileting.

This requirement was not met as evidenced by: Based on statements provided by A2, P1-P2 & P4 which confirmed their child was left in a
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Center Director stated she intends to hold all staff meeting to address issue concerning diapering, and Director intends to produce a diapering schedule/log for staff to utilize to track diaper changes. Director stated she would submit a copy of the meeting agenda and staff attendance signature page, completed LIC 9098, and the diapering
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soiled for a long period. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
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schedule/log to the Department by 01/22/24 via mail, email, or fax.

Email: melchisedeck.augustin@dss.ca.gov
Fax: 707-588-5080
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: Melchisedeck AugustinTELEPHONE: (707) 494-4918
LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2024
LIC9099 (FAS) - (06/04)
Page: 5 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, 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
10/10/2023 and conducted by Evaluator Melchisedeck Augustin
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20231010124032

FACILITY NAME:HEAD START - MARIPOSAFACILITY NUMBER:
483002943
ADMINISTRATOR:ESCOBAR, DIEGOFACILITY TYPE:
850
ADDRESS:1625 ALAMO DRIVETELEPHONE:
(707) 387-6561
CITY:VACAVILLESTATE: CAZIP CODE:
95687
CAPACITY:44CENSUS: 13DATE:
01/11/2024
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Maria Valdez TIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not prevent day care child from being injured by other children in care
Staff yell at day care children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
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10
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12
13
Licensing Program Analyst (LPA), Melchisedeck Augustin made an unannounced Complaint-Investigation visit and met with Center Director (CD), Maria Valdez for the purpose of delivering findings for the above allegations. LPA previously met with the Program Operation Director (POD), April Del Rosario to initiate the investigation by discussing the purpose of the visit, conducting an interview with POD and staff; and requested personnel records and facility roster of the children in care. It is alleged that staff did not prevent day care child from being injured by other children in care and staff yell at day care children. The report noted that staff ignored and did not intervene when they saw a child slap another child across the face two times which left a red mark, and furthermore, staff (S7) yelled at the children while on the playground.

LPA interviewed POD, seven staff (S1-S7), and one child (C2), one adult (A2), and four parents (P1-P4), starting on 10/19/23 through 01/09/24. Some children were not verbal, too young to interview, unavailable for interview or did not qualify to be interviewed. (Continue to LIC 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melchisedeck AugustinTELEPHONE: (707) 494-4918
LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2024
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-20231010124032
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: HEAD START - MARIPOSA
FACILITY NUMBER: 483002943
VISIT DATE: 01/11/2024
NARRATIVE
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POD stated she did not witness any incident(s) involving a child getting slapped, and according to POD, staff were trained in methods to mitigate challenging behavior(s). POD confirmed the facility conducted an internal investigation which did not substantiate S7 yelled at child(ren), but S7’s interaction with an adult was described as inappropriate and unprofessional.

Statements provided by staff (S1-S7) either reported they did not witness S7 yell at a child and/or they did not witness any incident(s) involving a child being slapped in the face by another child. Furthermore, staff expressed they never saw any staff dismiss/ignore, not address behavior(s) or acts of bullying that could result in injury to a child. Staff described when they communicated with a child, they got down to a child’s eye level, used calm, positive and respectful voice to speak with the children. Additionally, staff claimed they redirected, separated, and encouraged children to use their words to express their feelings. Although S1-S3 & S5 did not report any concerns, S4 expressed S7 sometimes yelled and was aggressive with the children, while S6 described S7 as being stern and loud; and felt some people may misinterpret S7’s tone for yelling. S6 stated she sometimes heard aggression in S7’s voice and felt that S7 should be in a different occupation.

A statement alleged that a staff hit a child, however; that statement was not corroborated. A2 and P1-P3 did not report any concerns related to staff yelling at children, and stated they never witnessed staff yell at child(ren); and their child never disclosed anything negative about staff conduct. A2 stated his child was consistently being bullied and was bitten twice by other child(ren) which prompted A2 to raise concerns to facility management which eventually addressed A2’s concerns. P2 said she noticed an unexplained visible red bruise on her child’s finger, and P4 stated he witnessed S7 talking in a loud verbal tone and arguing with his child, and P4 felt S7 lacked patience to work with the children; and was in the wrong line of work.

Based on the investigation, there was no conclusive evidence to support the allegations. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. 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. There were no violation(s) of California Code of Regulations, Title 22, Division 12 cited at this time. Appeal Rights were provided.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melchisedeck AugustinTELEPHONE: (707) 494-4918
LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 5