493008953-1-24-2022-01-CC-AHON-CB2L2M-20220126072232

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 493008953
Report Date: 01/21/2022
Date Signed: 01/24/2022 08:44:32 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/13/2021 and conducted by Evaluator Yang Yang

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20211013142606

FACILITY NAME:	BRAMBILA GOMEZ, LAURA FCCH		FACILITY NUMBER:	493008953
ADMINISTRATOR:	BRAMBILA GOMEZ, LAURA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(707) 837-8184
CITY:	WINDSOR	STATE: CA	ZIP CODE:	95492
CAPACITY:	14	CENSUS: 5	DATE:	01/21/2022
		UNANNOUNCED	TIME BEGAN:	11:16 AM
MET WITH:	Laura Brambila Gomez		TIME COMPLETED:	01:32 PM

ALLEGATION(S):

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Daycare provider handled child in a rough manner causing trauma.

INVESTIGATION FINDINGS:

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A follow-up complaint investigation visit was made by Licensing Program Analyst (LPA), Y. Yang to deliver complaint investigation findings. The LPA met with the facility’s licensee, Laura Brambila Gomez. This complaint was investigated by the Department’s Investigative Branch (IB) Investigator, S. Guerra in collaboration with the Windsor Police Department. It was alleged that on a specific date, daycare child (C1) was roughly handled by a care provider causing trauma to their genitals. The licensee(S1) and all staff members (S2-S4) were interviewed and denied the allegation.
During the complaint investigation by investigator Guerra, interviews were conducted with the facility’s licensee, staff, children, clients, and other members of the public. The licensee was interviewed by the investigator on 11/19/21 and 12/29/21. The licensee stated that she is the primary caregiver at the facility but utilizes assistants (staff S2-S4) on certain days and times. Licensee stated that some of the tasks assistants are responsible for include changing diapers, assisting with meals, and providing supervision.
Continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Alexis Hollon	TELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Yang Yang	TELEPHONE: 707-588-5026
LICENSING EVALUATOR SIGNATURE:	DATE: 01/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2022

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-20211013142606

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928

FACILITY NAME: BRAMBILA GOMEZ, LAURA FCCH	FACILITY NUMBER: 493008953
	VISIT DATE: 01/21/2022

NARRATIVE

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The licensee stated that child C1 attended the facility for two days. The licensee stated that she did not notice anything unusual involving the child during the child’s time at the facility. The licensee stated that she performed all diaper changes for child C1 on the first day the child was in care and did not notice any trauma near the child’s genital area, only a rash. The licensee stated that she was ill on the second and final day child C1 was in care.The licensee stated that the care and supervision duties were delegated to staff S4 while she remained in her room upstairs. The licensee stated that daycare children are never left without supervision and are always supervised by a fingerprinted adult. The licensee stated that when a child sustains a minor injury while at the facility, parents are notified verbally. Licensee stated that when a child sustains a “big” injury such a scratch or bump on their head, parents are notified by telephone/text and may be asked to pick up their child from the facility for medical treatment.

Facility staff S2-S4 were interviewed by the investigator on 12/29/21 or 01/05/22. Staff stated that they have never observed any inappropriate interactions between child C1 and any other child or adult. Staff interviewed stated that they do not recall any unusual incidents that occurred at the facility related to this allegation. Staff interviewed all corroborated the licensee’s statements. During the investigator’s interviews with daycare children, the children all stated that they felt safe while in care and enjoy attending the daycare and have not observed or experienced anything that concerned them or made them feel uncomfortable. The clients that were interviewed by the investigator were generally satisfied with the facility and stated that they did not have any health and safety concerns or complaints about the facility or about the well-being of any of the children in care.

Based on available information and interviews by the investigator, there is not a preponderance of evidence to support the allegation. Therefore, the allegation is unsubstantiated. The Windsor Police Department has also concluded their investigation due to a lack of evidence to support the allegation. All licensing reports are public information and must be made available upon request for at least three years. This report was read and reviewed with the facility licensee, Laura Brambila Gomez. There were no Title 22 deficiencies cited related to this complaint allegation. Appeal rights were provided. The Notice of Site Visit shall be posted for 30 days.

SUPERVISOR'S NAME: Alexis Hollon	TELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Yang Yang	TELEPHONE: 707-588-5026
LICENSING EVALUATOR SIGNATURE:	DATE: 01/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2022

LIC9099 (FAS) - (06/04)

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