<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 490108547
Report Date: 01/25/2024
Date Signed: 01/25/2024 11:40:16 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 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
12/22/2023 and conducted by Evaluator Amy Strother
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20231222160916
FACILITY NAME:WOODSIDE WEST SCHOOL-AFTER SCHOOL PROGRAMFACILITY NUMBER:
490108547
ADMINISTRATOR:DUMBADGE, DIANAFACILITY TYPE:
840
ADDRESS:2577 GUERNEVILLE ROADTELEPHONE:
(707) 528-6666
CITY:SANTA ROSASTATE: CAZIP CODE:
95401
CAPACITY:30CENSUS: 0DATE:
01/25/2024
UNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Allison Fields and Diana DumbadseTIME COMPLETED:
11:55 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not prevent daycare child from harming another child in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Amy Strother made a subsequent complaint investigation inspection for the purpose of delivering the findings, and met with Licensee/Director, Diana Dumbadse (L1) and facility representative, Allison Fields (S1). It has been alleged that staff did not prevent daycare child from harming another child in care, specifically that Child 2 (C2) punched Child 1 (C1) in the crotch while in care.

On 12/28/23, LPA Strother made an attempted visit to the facility, but was unable to meet with facility representatives due to the facility being closed for winter break. During the initial investigation visit to the facility on 01/03/24, LPA Strother met with S1 and L1. During the 01/08/24 visit, LPA conducted interviews with L1, two staff (S1 & S2), four children (C1-C4) and reviewed C1 and C2’s files. During the course of the investigation, interviews were conducted between 12/27/23 and 01/22/24 with Adult 2 – Adult 4 (A2–A4).

Continue on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Alexis HollonTELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Amy StrotherTELEPHONE: (707) 588-5077
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2024
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 3
Control Number 01-CC-20231222160916
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: WOODSIDE WEST SCHOOL-AFTER SCHOOL PROGRAM
FACILITY NUMBER: 490108547
VISIT DATE: 01/25/2024
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
S1 and D1 reported that they were made aware of the alleged incident when a parent of a child in care called the facility on 12/20/23. S1 and D1 denied the allegation stating that they have never seen a child or have knowledge of a child punching another child in the crotch while in care. S1 and D1 both spoke of having received information of it happening outside of the facility. S1 and D1 gave detailed examples of conversations had with school-age children about undesired behaviors and how children are redirected when it is observed. D1 stated that when incidents occur, they support the children in learning self-help tools, talking things out and coming up with options. S2 reported that although she couldn’t recall an incident involving a child punching the crotch of another child, she recalls stepping in to “break children apart” and then helped them to work it out. S2 reported having conversations with parents about undesired behaviors, explaining what happened and making sure that they are aware. Children interviewed gave examples of children displaying undesired behavior, stating that their teacher called another teacher in for help and also told their parents. One child interviewed reported that they and another child did grab each other in the private area, but that it was just a joke and that it was a long time ago and that the teacher told the parents about it. Another child reported that a teacher gave a child a time-out after hearing that a child punched another in the private area. Each child interviewed gave examples of or stated that the teachers take care of problems between the children. Adults interviewed corroborated that they have received incident reports from the school or have been verbally told about incidents involving their children. The adults interviewed stated that they are happy with the care provided by Woodside West, feel fortunate to have found them, feel that the staff are communicative and feel that the facility is safe and well run.

Although it may be true that C2 may have punched C1 in the crotch, there are conflicting accounts as to whether or not this specific incident occurred at the facility or that staff was aware that the undesired contact between children, involved a child getting punched in the crotch. Staff and children gave examples of how they intervene when conflict is observed between children and how staff communicate incidents or concerns to the children’s guardians, demonstrating appropriate supervision, discipline, and reporting.

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.

There were no Title 22 deficiencies cited during today's inspection.

Continue on LIC9099-C

SUPERVISOR'S NAME: Alexis HollonTELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Amy StrotherTELEPHONE: (707) 588-5077
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 01-CC-20231222160916
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: WOODSIDE WEST SCHOOL-AFTER SCHOOL PROGRAM
FACILITY NUMBER: 490108547
VISIT DATE: 01/25/2024
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
This report was reviewed and discussed with Facility Representatives, Allison Fields and Diana Dumbadse. Appeal Rights were provided.

Notice of Site Visit shall be posted for 30 days from today's visit. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Alexis HollonTELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Amy StrotherTELEPHONE: (707) 588-5077
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3