173002889-12-26-2025-01-CC-MMOR-DPTLF5-20251229074230

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 173002889
Report Date: 12/26/2025
Date Signed: 12/26/2025 02:57:12 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 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
09/30/2025 and conducted by Evaluator Sebastian Phouthavong

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20250930134415

FACILITY NAME:	YUBA COMMUNITY COLLEGE,LAKE CAMPUS CDC		FACILITY NUMBER:	173002889
ADMINISTRATOR:			FACILITY TYPE:	850
ADDRESS:	15880 DAM ROAD EXTENSION		TELEPHONE:	(707) 995-7909
CITY:	CLEARLAKE	STATE: CA	ZIP CODE:	95422
CAPACITY:	30	CENSUS:	DATE:	12/26/2025
		UNANNOUNCED	TIME BEGAN:	02:50 PM
MET WITH:			TIME COMPLETED:	03:05 PM

ALLEGATION(S):

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Staff engages in inappropriate behavior with day care child.
Staff does not provide adequate supervision resulting in day care child sustaining an injury.
Staff allow day care children to engage in inappropriate behavior.
Staff did not notify day care child's responsible party of incident.

INVESTIGATION FINDINGS:

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A complaint investigation was made by Licensing Program Analyst (LPA), Sebastian Phouthavong. LPA previously conducted an inspection on 10/06/2025 to initiate the investigation and met with Area Director, Patricia Ryan (AD) to discuss the allegations, conduct interviews, and to make observations. However, the facility was temporarily closed during the visit. It was alleged that Staff engage in inappropriate behavior with day care child, specifically that a child was kissed on the forehead. Also, it’s alleged that staff does not provide adequate supervision resulting in day care child sustaining an injury and staff did not notify day care child's responsible party of incident. Finally, it’s alleged staff allow day care children to engage in inappropriate behavior, specifically children are allowed to climb on things and jump off them.

During the course of the investigation, LPA conducted interviews with Area Director (AD), one staff (S4), five adult (A2 – A6) and attempted three additional adult interviews from 10/06/2025 to 12/23/2025. AD denied the allegations.
(Continued on LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Melinda Mohr
LICENSING EVALUATOR NAME: Sebastian Phouthavong
LICENSING EVALUATOR SIGNATURE:	DATE: 12/26/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/26/2025

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-20250930134415

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: YUBA COMMUNITY COLLEGE,LAKE CAMPUS CDC	FACILITY NUMBER: 173002889
	VISIT DATE: 12/26/2025

NARRATIVE

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(Continued from LIC9099)
AD stated that staff, including themself, do not kiss daycare children anywhere, including on the forehead.
AD further stated that staff only hug children if requested by the children. However, AD did state that they previously kissed a child on the forehead one time, describing it as more of a “tap.” AD stated that they never received any notification of injuries from staff. However, AD stated that they were later notified by a daycare parent that their child had sustained bruises on their body, and AD was unsure whether the bruises occurred while the child was at the facility. AD also stated that the facility’s policy requires staff to notify daycare parents of any incident. AD stated that the children are not allowed to do whatever they want, including climbing on objects and jumping off them. AD further stated that the children are allowed to jump off a platform cube when supervised by AD.

Staff interview (S4) stated to have never heard of any incidents in which a child was injured due to a lack of supervision. S4 also stated that staff are to notify parents of any incidents involving their children. In addition, S4 stated that children were generally free to do as they pleased and were allowed to jump off objects.

According to Adults Interviews (A2 & A5) stated that they observed unknown bruises and cuts on their children and were never notified about these injuries by the facility. Additionally, Adults (A2 & A3) stated that they were informed by a staff member claiming that children can do whatever they choose, including jumping off objects. An interview from A6 stated that they observed a daycare child jumping off a bookshelf at the facility and that staff did not attempt to stop the behavior. No corroborating evidence was revealed to determine whether unexplained bruises occurred while at the facility.

Based on the information gathered during this investigation, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegations occurred and therefore are determined to be unsubstantiated. There were no Title 22 deficiencies cited. Due to the facility being in inactive status, this report will be emailed to Area Director, Patricia Ryan (AD). Appeal rights were provided.

SUPERVISORS NAME: Melinda Mohr
LICENSING EVALUATOR NAME: Sebastian Phouthavong
LICENSING EVALUATOR SIGNATURE:	DATE: 12/26/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/26/2025

LIC9099 (FAS) - (06/04)

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