493009447-9-14-2022-01-CC-LLEI-CP238L-20230213170134

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 493009447
Report Date: 09/14/2022
Date Signed: 09/14/2022 03:54:38 PM

Substantiated

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
09/07/2022 and conducted by Evaluator Kevin O'Connell

COMPLAINT CONTROL NUMBER: 01-CC-20220907154532

FACILITY NAME:	SONOMA PRESCHOOL ACADEMY		FACILITY NUMBER:	493009447
ADMINISTRATOR:	THOMAS, REV. JAMES MORRIS		FACILITY TYPE:	850
ADDRESS:	275 EAST SPAIN STREET		TELEPHONE:	(707) 996-3755
CITY:	SONOMA	STATE: CA	ZIP CODE:	95476
CAPACITY:	45	CENSUS: 20	DATE:	09/14/2022
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Jill Pressley, Director		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Facility files are not properly maintained.

INVESTIGATION FINDINGS:

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LPA Kevin O'Connell made an unannounced inspection/ visit to open and investigate the above allegation. It was alleged that the facility files are not properly maintained, specifically children's files.
Staff interview was conducted and observations were made.
During a staff interview, Director, Jill Pressley (S1), admitted that some of the children's files were not complete and is working as the new Director with the parents to obtain the missing forms to complete the files. LPA also observed many forms missing from multiple children's files during document review.
Based on LPA's observations and the Director admitting that the files were missing necessary signed forms, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. The following violations of the California Code of Regulations, Title 22: Division 12, were observed: See LIC9099D. Appeal Rights were provided.
A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Leslie Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Kevin O'Connell	TELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:	DATE: 09/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2022

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-20220907154532

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: SONOMA PRESCHOOL ACADEMY	FACILITY NUMBER: 493009447
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/14/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 09/28/2022 Section Cited CCR 101221A	1 2 3 4 5 6 7	Child's Records- (a) A separate, complete and current record for each child is maintained in the child care center.	1 2 3 4 5 6 7	Director states that she will send pictures of missing signed forms to CCL by 9/28/22. kevin.oconnell@dss.ca.gov
	8 9 10 11 12 13 14	This requirement was not met as evidenced by LPA observation (document review), and Director's admission that the children's files were missing necessary signed forms. This presents a potential health and safety risk to children 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: Kevin O'Connell	TELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:	DATE: 09/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2022

LIC9099 (FAS) - (06/04)

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