483003697-5-5-2022-01-CC-LLEI-CEDRH5-20220513130146

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 483003697
Report Date: 05/05/2022
Date Signed: 05/05/2022 12:58:23 PM

Unsubstantiated

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
02/08/2022 and conducted by Evaluator Elpidia Hernandez Torres

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20220208151800

FACILITY NAME:	BELLARD-HODGE, PRISCILLA FAMILY CHILD CARE HOME		FACILITY NUMBER:	483003697
ADMINISTRATOR:	BELLARD-HODGE, PRISCILLA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(707) 330-6565
CITY:	FAIRFIELD	STATE: CA	ZIP CODE:	94533
CAPACITY:	14	CENSUS: 5	DATE:	05/05/2022
		UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Licensee Priscilla		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Lack of supervision resulting in child hitting another child while in care

INVESTIGATION FINDINGS:

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

Licensing Program Analyst (LPA) Elpidia Hernandez Torres conducted a subsequent complaint investigation visit with licensee for the purpose of delivering complaint investigation findings. It has been alleged Lack of supervision resulted in child hitting another child while in care specifically on 01/26/2022, C1 and C2 hit C3 in the stomach, hit them on their lip causing a bruised lip and pulled their hair.

During the initial investigation an interview was conducted with licensee, staff, one child, and one parent on 02/16/22. Licensee and staff denied the allegations. Licensee stated she had not seen any children including C1 or C2 injure C3. Staff member corroborated the licensees’ statements. Staff member, stated on 01/26/2022 all children were playing in the backyard, and none of the children got hurt that day. In the event a child gets hurt, they inform her, and she addresses the injury which typically does not require medical attention. The staff member reported, on that day the other children were excited to see and play with C3 as they had not been present for a week. When parent picked up C3, staff member informed parent the day care would be closed on 01/28/22. Staff member stated C3 appeared content when parent picked up, and there were no cuts, scrapes or bruises on C3 when they left. Staff member has pictures of the day, showing the children outside riding their bikes. Continued on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Leslie Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres	TELEPHONE: (707) 771-5568
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2022

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 2

Control Number 01-CC-20220208151800

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: BELLARD-HODGE, PRISCILLA FAMILY CHILD CARE HOME	FACILITY NUMBER: 483003697
	VISIT DATE: 05/05/2022

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Interviews were conducted with four parents and three children on 02/16/22 an 05/02/22. Most parents expressed they have no concerns about the safety of their children. Parents stated licensee and staff will call parents if a serious injury occurs, but most of the time it is children fighting over a toy, not sharing or the child tripping. Parents reported they felt it was adequate for licensee and staff to report any incident as those previously stated at parent pick up time. Parents also reported, licensee and staff use time out as discipline when children are not getting along. One parent reported C1 was having issues with sharing, and they would push children to keep the object. Parent stated licensee and staff have since been able to help teach C1 to share and use their words instead of physical action. Another parent reported C2 will tell them all the incidents that have occurred throughout the day at the day care. The only item they reported on 01/26/2022 was C3’s return to the daycare, and the activities they did for the day. On 02/16/2022, C2 reported C1 had pushed both C2 and C3 before but it doesn’t happen often, and when it does occur C2 tells staff member, and staff member will place C1 on time out. C2 didn’t mention another occurrence of child on child injury. Other children interviewed didn’t report any occurrence of injuries happening, they only replied when friends get hurt, they receive help from licensee and staff.

On 05/03/2022, LPA Hernandez Torres arrived to the facility to observe children interactions and staff child ratio. There was one staff supervising four preschool aged children, C1, C2, C4, C5. Staff member was able to teach C1 and C2 while C4 and C5 were having independent play. When C4 and C5 were beginning to get rowdy or appear to fight for the same toy, staff member was able to go over and settle the two children, reminding them verbally to share and to separate from each other. The children responded to her request and kept playing without an altercation. In another instance, staff member was helping C5 get ready to go outside, when C2 began to provoke C4, and staff member didn’t notice. Once staff member turned her attention to the other children, C2 moved away from C4 and left him alone.

Based on interviews conducted, records reviewed, and observations, 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. This report was reviewed and discussed with Licensee, She was provided with a copy of this CIR; and Appeal Rights. 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 inspection.

SUPERVISOR'S NAME: Leslie Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres	TELEPHONE: (707) 771-5568
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 2