493003079-5-5-2022-01-CC-AHON-CECRTJ-20220512131822

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 493003079
Report Date: 05/05/2022
Date Signed: 05/05/2022 11:37:39 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
03/14/2022 and conducted by Evaluator Jennifer Velasco

COMPLAINT CONTROL NUMBER: 01-CC-20220314094516

FACILITY NAME:	FINKE, STACY FAMILY CHILD CARE HOME		FACILITY NUMBER:	493003079
ADMINISTRATOR:	FINKE, STACY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(707) 888-3070
CITY:	BODEGA	STATE: CA	ZIP CODE:	94922
CAPACITY:	14	CENSUS: 9	DATE:	05/05/2022
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Stacy Finke		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Licensee doesn't live at the facility

INVESTIGATION FINDINGS:

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A subsequent complaint investigation inspection was conducted by Licensing Program Analyst Jennifer Velasco (LPA), who met with Licensee Stacy Finke (L1). It has been alleged L1 does not live at the facility as required for licensure as a Family Child Care Home; specifically, that L1 resides at one or more offsite locations. L1 stated that due to the Covid 19 pandemic she has been staying elsewhere but has now returned to residing in the facility. Today, there were nine children in care with L1 and an assistant (S2). During the investigation, LPA toured and photographed the facility, conducted witness interviews, and requested, obtained, and reviewed pertinent documents and photographic evidence. Based on interviews, facility documents, LPA observations, and photographic evidence, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. The following violation of the California Code of Regulations, Title 22; Division 6, was observed: see LIC 9099-D. This report was reviewed and discussed with L1. Appeal Rights were provided, and exit interview was conducted. All licensing reports are public information and must be made available upon request for at least three years. L1 was provided with a Notice of Site Visit (NOS) to be posted in the facility for 30 days.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Alexis Hollon	TELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Jennifer Velasco	TELEPHONE: (707) 588-5044
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)

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Control Number 01-CC-20220314094516

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: FINKE, STACY FAMILY CHILD CARE HOME	FACILITY NUMBER: 493003079
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/05/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 05/06/2022 Section Cited CCR 102352(f)(1)	1 2 3 4 5 6 7	"Family Day Care" or "Family Child Care" means regularly provided care, protection and supervision of children, in the care giver's own home ..." This requirement has not been met based on Licensee (L1) statement	1 2 3 4 5 6 7	L1 stated she has returned to living in the home and understands her residing in the home is required as a condition of licensure as a Family Child Care Home. L1 stated she would provide verbal and written statements to that effect and has done so. POC has been met prior to POC date.
	8 9 10 11 12 13 14	that she was not living in the home during some portion of the pandemic but has now returned to live in the home as required.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Alexis Hollon	TELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Jennifer Velasco	TELEPHONE: (707) 588-5044
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2022

LIC9099 (FAS) - (06/04)

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