493008802-11-13-2019-01-CC-AHON-BJ2U7H-20191118141957

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 493008802
Report Date: 11/13/2019
Date Signed: 11/13/2019 02:41:06 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/19/2019 and conducted by Evaluator Jennifer Velasco

COMPLAINT CONTROL NUMBER: 01-CC-20190919110652

FACILITY NAME:	STARS PRESCHOOL-SEBASTOPOL		FACILITY NUMBER:	493008802
ADMINISTRATOR:	JENNIFER JACKSON		FACILITY TYPE:	850
ADDRESS:	466 JOHNSON STREET		TELEPHONE:	(707) 829-2160
CITY:	SEBASTOPOL	STATE: CA	ZIP CODE:	95472
CAPACITY:	22	CENSUS: 15	DATE:	11/13/2019
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Jennifer Jackson		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

1
2
3
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5
6
7
8
9

Lack of supervision resulting in inappropriate interactions between children in care.

INVESTIGATION FINDINGS:

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2
3
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5
6
7
8
9
10
11
12
13

LPA Velasco conducted an unannounced complaint inspection and met with the director (D1). It was alleged that staff failed to provide adequate supervision; specifically, that children engaged in inappropriate interactions with one another due to lack of supervision. D1 denied the allegation and stated that facility is staffed adequately and that staff provide constant visual supervision of children. Two staff (D1 and S1), one child (C5), and two adults (A11-A12) were interviewed on 09/30/2019. On 11/13/2019, one staff (S2), two children (C6-C7), and one parent (A9) were interviewed. Witness statements failed to corroborate the allegation. LPA observed staff using zone strategies and frequent communication while supervising children in the classroom and on the playground. During today’s visit, the facility was toured at 11:00 a.m., facility records were reviewed at 12:30 p.m., and staff supervision of children was observed at 11:30 a.m.. LPA observed two staff providing care and supervision to 15 children. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the findings are unsubstantiated. An exit interview was conducted. The Notice of Site Visit must be posted 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: 11/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2019

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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