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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 493009441
Report Date: 01/11/2021
Date Signed: 01/11/2021 10:24:57 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
05/15/2020 and conducted by Evaluator Amy Strother
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20200515131043
FACILITY NAME:HEAD START-COOKFACILITY NUMBER:
493009441
ADMINISTRATOR:GROCOTT, LISAFACILITY TYPE:
850
ADDRESS:2480 SEBASTOPOL ROADTELEPHONE:
(707) 535-3314
CITY:SANTA ROSASTATE: CAZIP CODE:
95407
CAPACITY:34CENSUS: 0DATE:
01/11/2021
ANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Lisa GrocottTIME COMPLETED:
10:21 AM
ALLEGATION(S):
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9
Staff failed to meet child's needs
Daycare child was left unattended
Staff failed to provide adequate food service
INVESTIGATION FINDINGS:
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Due to COVID-19 an announced tele-visit was conducted by Licensing Program Analyst (LPA) Amy Strother to deliver complaint investigation findings. On 01/11/21 at 10:00am LPA met with Head Start Executive Director, Lisa Grocott on a FaceTime meeting to discuss the investigation findings. It has been alleged that staff failed to meet child's needs, specifically that during the 2018-2019 school year staff would call Child 1’s (C1’s) parent everyday requesting that C1 be picked up early due to special needs and that staff prevented outside services from meeting with C1 at the facility, a daycare child was left unattended, and that staff failed to provide adequate food service, specifically on the morning that C1 was found to have head lice.

During the investigation, records were received and reviewed on 06/19/20, 12/15/20 and 12/18/20. Interviews were conducted with Staff 1 and Staff 2 (S1 and S2) on 11/30/20 at 3:23pm and 2:33pm, Staff 3 and Staff 5 (S3 and S5) on 11/19/20 at 2:32pm and 10:19am, Staff 7 (S7) on 12/09/20 at 9:37am and Staff 8 (S8) on 11/17/20 at 11:03am. Interviews were conducted with Adult 1 (A1) on 06/22/20 at 11:00am and Adult 5 (A5) on 11/17/20 at 1:57pm. (Continue on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Alexis HollonTELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Amy StrotherTELEPHONE: (707) 588-5077
LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2021
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-20200515131043
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: HEAD START-COOK
FACILITY NUMBER: 493009441
VISIT DATE: 01/11/2021
NARRATIVE
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Staff 1, S2, S3, S5, S7 and A5 were unable to corroborate the allegation that staff failed to meet child’s needs. S1, S2, S3, S7 and A5 all stated that C1 missed school frequently, missing appointments with outside resources on multiple occasions. A5 stated that they were discharged from providing services to C1 due to the number of missed appointments by C1. Review of attendance records dated 2/2019, 3/2019, 7/2019 and 8/2019 show that C1 missed 42 days out of the 56 days scheduled. Interviews and review of records dated 07/09/19 show that C1’s parent agreed to pick up C1 at 12:00pm, review of sign-in/sign out records indicate that the agreed upon schedule was followed. During months 7/2019 and 8/2019 C1 was picked up between 11:55am and 12:30pm. S1, S2, S3, S5, and A1 were unable to corroborate the allegation that a daycare child was left unattended, all denying the allegation, stating that no daycare child has ever been left unattended while at the facility. In the interview with S1, S1 denied the allegation that staff failed to provide adequate food service, stating that she personally fed C1 breakfast the morning that C1 was found to have head lice. S1 stated that staff do lice checks weekly and often check children’s heads for lice while they are distracted with eating. S1 stated that the morning C1 had lice, C1 did not want to continue to eat and began to cry when C1 saw their parent walk into the room and was then removed from the feeding chair to be with their parent. Interviews with staff did not provide corroborating evidence to support the allegations that staff failed to provide adequate food service.

Based on interviews conducted and records reviewed, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, therefore the allegations are unsubstantiated.

This report was reviewed and discussed with Executive Director, Lisa Grocott. Facility representatives’ original signatures were not recorded on the report; however, Lisa Grocott was provided with a copy of the LIC9099 Complaint Investigation Report (CIR) and Appeal Rights in an email dated 01/11/21 and confirmation of Read Receipt of the CIR is on file. All licensing reports are public information and must be made available upon request for at least three years. There were no Title 22 deficiencies cited during today's inspection.
SUPERVISOR'S NAME: Alexis HollonTELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Amy StrotherTELEPHONE: (707) 588-5077
LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2021
LIC9099 (FAS) - (06/04)
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