493007553-3-4-2025-01-CC-LLEI-DEH4FA-20250305180336

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 493007553
Report Date: 03/04/2025
Date Signed: 03/04/2025 09:53:37 AM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA 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
12/05/2024 and conducted by Evaluator Sebastian Phouthavong

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20241205113352

FACILITY NAME:	NORTH BAY CHILDREN'S CENTER - STEELE LANE		FACILITY NUMBER:	493007553
ADMINISTRATOR:	PETERSON, KATIE		FACILITY TYPE:	850
ADDRESS:	301 STEELE LANE		TELEPHONE:	(707) 526-5383
CITY:	SANTA ROSA	STATE: CA	ZIP CODE:	95403
CAPACITY:	30	CENSUS: 13	DATE:	03/04/2025
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Katie Peterson		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Staff denies day care children food.
Staff yells at day care children.
Staff grabs day care children in a rough manner.
Staff use intimidation as a form of discipline.

INVESTIGATION FINDINGS:

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A subsequent complaint investigation visit was conducted today by Licensing Program Analyst (LPA), Sebastian Phouthavong who met with the Area Director, Paige Newton (AS) for the purpose of delivering complaint investigation findings for the above allegation. LPA previously conducted an inspection on 12/11/2024 to initiate the investigation and met with Area Director to discuss the allegations, conduct interview(s), make observations, and request documents. It is alleged that staff denied day care children food specifically that a child was denied more milk when asked. Also, it was alleged that staff yells at day care children, staff use intimidation as a form of discipline, and Staff grabs day care children in a rough manner, specifically that a staff would yell and grab a child as a way of discipline.

During the course of the investigation, LPA conducted interviews with the Area Director (AD), two Directors (D1 & D2), Staff (S1 – S2), 3 children (C1 – C3) and four adults (A2 – A4) from 12/11/2024 to 01/24/2025.
AD and Directors (D1 & D2) admitted that there was an incident when A1 denied a child more milk when asked. (Continued on LIC 9099-C)

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Leslie Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Sebastian Phouthavong	TELEPHONE: 707-588-5056
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025

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-20241205113352

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: NORTH BAY CHILDREN'S CENTER - STEELE LANE	FACILITY NUMBER: 493007553
	VISIT DATE: 03/04/2025

NARRATIVE

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(Continued from LIC 9099)
Additionally, AD and Directors (D1 & D2) stated A1 has yelled and grabbed a child by their arms as a way of discipline when a child misbehaved and not following A1’s orders. Staff interviews has stated seeing A1’s actions, corroborating with AD and Directors interviews. The facility has acknowledged and accessed the issues.

Based on the information gathered during this investigation, the preponderance of the evidence standard has been met. Therefore, the allegation is determined to be substantiated. California Code of Regulations, Title 22, is being cited on the attached LIC 9099-D. Appeal rights were provided. An exit interview was conducted, and this report was read and discussed with the facility’s the Area Director, Paige Newton (AS). The Notice of Site Visit shall be posted for 30 days.

SUPERVISOR'S NAME: Leslie Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Sebastian Phouthavong	TELEPHONE: 707-588-5056
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025

LIC9099 (FAS) - (06/04)

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Control Number 01-CC-20241205113352

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: NORTH BAY CHILDREN'S CENTER - STEELE LANE	FACILITY NUMBER: 493007553
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/04/2025

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 03/11/2025 Section Cited CCR 101223(a)(1)	1 2 3 4 5 6 7	101223(a)(3) Personal Rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature...This requirement is not met as evidenced by:	1 2 3 4 5 6 7	POC as been cleared during today’s visit.
	8 9 10 11 12 13 14	Based on interviews, A1 has denied milk, yelled at a child, and grabbed a daycare child as a way of discipline which poses a potential health, safety or personal rights risk to persons in care.	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: Leslie Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Sebastian Phouthavong	TELEPHONE: 707-588-5056
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025

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
SANTA ROSA 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
12/05/2024 and conducted by Evaluator Sebastian Phouthavong

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20241205113352

FACILITY NAME:	NORTH BAY CHILDREN'S CENTER - STEELE LANE		FACILITY NUMBER:	493007553
ADMINISTRATOR:	PETERSON, KATIE		FACILITY TYPE:	850
ADDRESS:	301 STEELE LANE		TELEPHONE:	(707) 526-5383
CITY:	SANTA ROSA	STATE: CA	ZIP CODE:	95403
CAPACITY:	30	CENSUS:	DATE:	03/04/2025
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Katie Peterson		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Staff does not ensure day care children are supervised at all times.

INVESTIGATION FINDINGS:

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A subsequent complaint investigation visit was conducted today by Licensing Program Analyst (LPA), Sebastian Phouthavong who met with the Area Director, Paige Newton (AS) for the purpose of delivering complaint investigation findings for the above allegation. LPA previously conducted an inspection on 12/11/2024 to initiate the investigation and met with Area Director to discuss the allegations, conduct interview(s), make observations, and request documents. It is alleged staff does not ensure day care children are supervised at all times, specifically there is a blind spot where daycare child hide and cannot be seen.

During the course of the investigation, LPA conducted interviews with the Area Director (AD), two Director (S1 & D2), Staff (S1 – S2), 3 children (C1 – C3) and four adults (A2 – A4) from 12/11/2024 to 01/24/2025. Interviews from AD, D1 & D1 have stated that staff would ensure to have view of all daycare children at all times. Furthermore, AD and D1 stated staff would do a face to name and do a head count on the daycare children as well.
(Continued on LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Leslie Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Sebastian Phouthavong	TELEPHONE: 707-588-5056
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025

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-20241205113352

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: NORTH BAY CHILDREN'S CENTER - STEELE LANE	FACILITY NUMBER: 493007553
	VISIT DATE: 03/04/2025

NARRATIVE

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(Continued from LIC 9099-A)
D1 stated when in the play yard, staff would roam the area and notify other staff when stepping away from the area. Interviews from Staff (S1 & S2) stated staff would position themselves to have view of all children and would notify another staff when accompanying the daycare children to the indoor restroom, corroborating with AD and Directors (D1 & D2)’s interviews. D2 did stated children do go over to an area where itis not easy to view and staff would have to remind children to stay in easier viewed areas. In addition, D1 stated the facility plans to add a mirror to assist staff on viewing the area.

Interviews conducted by adults (A2 – A4) and Child (C1 – C3) currently did not have any concerns with the allegation filed against the facility.

Based on the information gathered during this investigation, although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that the allegations occurred and therefore are determined to be unsubstantiated. There were no Title 22 deficiencies cited. This report was reviewed and discussed with the Area Director, Paige Newton. Appeal rights were provided. Notice of Site Visit shall be posted for 30 days from today's visit.

SUPERVISOR'S NAME: Leslie Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Sebastian Phouthavong	TELEPHONE: 707-588-5056
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025

LIC9099 (FAS) - (06/04)

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