493010038-8-25-2021-01-CC-AHON-C6AV6Q-20210827160953

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 493010038
Report Date: 08/25/2021
Date Signed: 08/25/2021 04:34:12 PM

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
05/27/2021 and conducted by Evaluator Amy Strother

COMPLAINT CONTROL NUMBER: 01-CC-20210527134757

FACILITY NAME:	EL, SHELDON FCCH		FACILITY NUMBER:	493010038
ADMINISTRATOR:	EL, SHELDON		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 717-0627
CITY:	SANTA ROSA	STATE: CA	ZIP CODE:	95404
CAPACITY:	14	CENSUS: 14	DATE:	08/25/2021
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Sheldon El		TIME COMPLETED:	04:35 PM

ALLEGATION(S):

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Licensee is absent more than 20 percent of the hours facility is providing care per day.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Amy Strother and Nicolette Cunningham made a subsequent complaint investigation inspection for the purpose of delivering the findings, and met with Licensee, Sheldon El (L1).

A previous tele-visit was made with the facility on 06/02/21. It was alleged that the Licensee is absent more than 20 percent of the hours the facility is providing care per day. During an interview with the Licensee (L1) on 06/02/21 at 3:01pm, L1 stated in summary that it is true that for a couple of weeks she had been away from her Family Child Care Home (FCCH) for more than 20% of the operating hours. L1 further stated that reason she had been away is because of the demands of her Child Care Center (CCC) and the fact that the CCC is relocating and the new building for the CCC has a lot of issues that need her attention.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Alexis Hollon	TELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Amy Strother	TELEPHONE: (707) 588-5077
LICENSING EVALUATOR SIGNATURE:	DATE: 08/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021

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-20210527134757

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: EL, SHELDON FCCH	FACILITY NUMBER: 493010038
	VISIT DATE: 08/25/2021

NARRATIVE

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Based on the interview conducted with L1, the preponderance of evidence standard has been met, therefore the above allegation is substantiated. This report was discussed and reviewed with the Licensee. This licensing report is public information and must be made available upon request for at least three years.

The following violation(s) of the California Code of Regulations, Title 22; Division 12, were observed: see LIC 9099D. Appeal Rights were provided.

Notice of Site Visit shall be posted for 30 days.

SUPERVISOR'S NAME: Alexis Hollon	TELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Amy Strother	TELEPHONE: (707) 588-5077
LICENSING EVALUATOR SIGNATURE:	DATE: 08/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021

LIC9099 (FAS) - (06/04)

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Control Number 01-CC-20210527134757

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: EL, SHELDON FCCH	FACILITY NUMBER: 493010038
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/25/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/26/2021 Section Cited CCR 102417(a)	1 2 3 4 5 6 7	(a)The licensee shall be present in the home... When circumstances require the licensee to be temporarily absent from the home...Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day. This requirement has not been met as evidenced by:	1 2 3 4 5 6 7	L1 stated that she is now at her FCCH all day during the hours of operation and has been able to give any contractors that need access to the CCC a code to enter over the phone when needed. L1 reviewed regulation 102417(a),
	8 9 10 11 12 13 14	Based on interview on 06/02/21, the Licensee stated that she has been away from the facility, on more than one occasion, for more than 20 percent of the hours that the facility is providing care per day, which poses a potential Health, Safety, or Personal Rights risk to the children in care.	8 9 10 11 12 13 14	dated and signed a copy of the regulation, acknowledging that she understands the regulation.
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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: Alexis Hollon	TELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Amy Strother	TELEPHONE: (707) 588-5077
LICENSING EVALUATOR SIGNATURE:	DATE: 08/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021

LIC9099 (FAS) - (06/04)

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