173009857-1-8-2025-01-CC-MAVS-DCYQ92-20250116105733

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 173009857
Report Date: 01/08/2025
Date Signed: 01/08/2025 10:56:26 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA 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
10/17/2024 and conducted by Evaluator Sebastian Phouthavong

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20241017162432

FACILITY NAME:	BROWN, CARRIE FCCH		FACILITY NUMBER:	173009857
ADMINISTRATOR:	BROWN, CARRIE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(707) 245-9154
CITY:	CLEARLAKE	STATE: CA	ZIP CODE:	95422
CAPACITY:	14	CENSUS: 6	DATE:	01/08/2025
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Carrie Brown		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Licensee mistreated a daycare child

INVESTIGATION FINDINGS:

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A follow-up complaint investigation visit was made today by Licensing Program Analyst (LPA), S. Phouthavong to deliver complaint investigation findings. Previously, investigation visits were made to the facility by LPA Y. Yang on 10/23/24 and 12/20/24. It has been alleged that the licensee (staff S1) mistreated a daycare child. Specifically, it was alleged that during lunchtime the licensee asked C1 to stand up in front of other children and then made demeaning statements regarding C1’s weight and physique due to the contents of child C1’s packed lunch.

LPA Phouthavong met with the facility’s licensee, Carrie Brown today to discuss the investigation findings. During the LPA’s initial 10/23/24 site visit, the licensee and her assistant, staff S2 were interviewed regarding the allegation. Both individuals denied the allegation. The licensee stated that as part of her daycare curriculum, she teaches children about nutrition and healthy eating habits. The licensee stated that the lesson plan on the day of the alleged incident involved comparing healthy and unhealthy food items.
(Continued on LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Sebastian Phouthavong
LICENSING EVALUATOR SIGNATURE:	DATE: 01/08/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2025

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-20241017162432

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: BROWN, CARRIE FCCH	FACILITY NUMBER: 173009857
	VISIT DATE: 01/08/2025

NARRATIVE

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(Continued from LIC 9099)
The licensee stated that all children were asked to stand and show their classmates what they packed for lunch and suggestions were given to each child about how to make their meal healthier. The licensee stated that an example she used was comparing a piece of fruit to a fruit cup and how a child should opt for the fruit due to the lower sugar content.

The licensee stated that several children present that day also made comments about their food choices and their own physiques. The licensee stated that one child commented on their own weight gain due to their food choices. The licensee stated that she reminded the children that “Everybody is different but beautiful.” The licensee stated that children are never ridiculed or humiliated at her facility. The licensee stated that she speaks positive affirmations with the children every morning. The licensee’s assistant (staff S2) stated that she was present during this activity and corroborated the licensee’s statements.

During the investigation, the LPA made observations, interviewed children, and staff. The interviews did not provide any corroborating information to support the allegation. During the LPA’s visits to the facility, the LPA did not observe any evidence of personal rights violations or hear any inappropriate comments made by the licensee.

Based on available information, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore, the allegation is determined to be unsubstantiated at this time. There were no Title 22 deficiencies cited. This report was reviewed and discussed with the facility’s licensee, Carrie Brown. Appeal rights were provided. Notice of Site Visit shall be posted for 30 days from today's visit.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Sebastian Phouthavong
LICENSING EVALUATOR SIGNATURE:	DATE: 01/08/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2025

LIC9099 (FAS) - (06/04)

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