493006449-6-29-2022-01-CC-AHON-CG2UNW-20220705154430

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 493006449
Report Date: 06/29/2022
Date Signed: 06/29/2022 03:57:34 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
04/06/2022 and conducted by Evaluator Jennifer Velasco

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20220406122853

FACILITY NAME:	MT. TAYLOR CHILDREN'S CENTER THREE		FACILITY NUMBER:	493006449
ADMINISTRATOR:	JANAY BERRY		FACILITY TYPE:	850
ADDRESS:	812 VINEYARD CREEK DRIVE		TELEPHONE:	(707) 526-3008
CITY:	SANTA ROSA	STATE: CA	ZIP CODE:	95403
CAPACITY:	29	CENSUS: 21	DATE:	06/29/2022
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Karen Guerin		TIME COMPLETED:	04:10 PM

ALLEGATION(S):

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Day care child sustained injuries while in care

INVESTIGATION FINDINGS:

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An unannounced subsequent complaint investigation visit was made to the facility by Licensing Program Analysts (LPAs), J. Velasco and S. Phouthavong to investigate allegations filed against the facility. It has been alleged a child (C1) sustained injuries while in care; specifically, C1 was choked and hit by other children in care and sustained bruising. The LPAs met the facility's Co-Director Karen Guerin (D1) today and spoke with her regarding the allegations. D1 denied the allegations and stated that no injuries were sustained in care other than those sustained in the normal course of play. LPAs toured the facility inside and out, conducted interviews and requested facility documents. Today there were 21 children receiving care from three classroom staff. During the investigation, LPAs interviewed children, staff, and other witnesses; reviewed facility documents; and observed care being provided at the facility. Witness statements failed to corroborate the allegation that a child sustained injury in care. Although this allegation may have happened or be true, based on witness statements, preponderance of evidence standard has not been met; therefore, the above allegations are found to be UNSUBSTANTIATED. This report was reviewed and discussed with D1. 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. D1 was provided with a Notice of Site Visit (NOS) to be posted in the facility for 30 days.

Unsubstantiated

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: 06/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2022

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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