173010033-9-29-2023-01-CC-LLEI-CWL2GT-20231013172340

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 173010033
Report Date: 09/29/2023
Date Signed: 09/29/2023 09:58:50 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
07/16/2023 and conducted by Evaluator Sebastian Phouthavong

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20230716123158

FACILITY NAME:	BOHAN, NAHANI FCCH		FACILITY NUMBER:	173010033
ADMINISTRATOR:	BOHAN,NAHANI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(707) 287-0551
CITY:	KELSEYVILLE	STATE: CA	ZIP CODE:	95451
CAPACITY:	14	CENSUS: 5	DATE:	09/29/2023
		UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Nahani Bohan		TIME COMPLETED:	09:30 AM

ALLEGATION(S):

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Facility is over capacity.
Facility does not provide a safe environment for day care children.
Licensee does not spend a sufficient amount of time at the facility.

INVESTIGATION FINDINGS:

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A subsequent complaint investigation visit was conducted today by Licensing Program Analyst (LPA), Sebastian Phouthavong who met with Licensee, Nahani Bohan for the purpose of delivering complaint investigation findings for the above allegations. LPA, previously conducted inspections on 07/19/2023 and 07/27/2023 to initiate the investigation and met with the Licensee to discuss the allegations, conduct interview(s), make observations, and request documents.

It is alleged that the facility is over capacity, facility does not provide a safe environment for day care children, specifically that there is an uncovered pool, and Licensee does not spend a sufficient amount of time at the facility.

During the course of the investigation, LPA conducted interviews with the Licensee (L1), one staff member (S1), four parents (P2-P4) & three children (C2-C4) from 07/27/2023 to 09/15/2023. L1 & S1 stated L1 is mostly present at the home and when supervising over eight daycare children, at least two staff members are present. (Continue on LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Sebastian Phouthavong
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2023

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-20230716123158

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: BOHAN, NAHANI FCCH	FACILITY NUMBER: 173010033
	VISIT DATE: 09/29/2023

NARRATIVE

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(Continue from LIC9099)
Both continued to state that recently L1 had a personal emergency leaving the children to be supervised by two other staff members. L1 further stated when daycare children use the swimming pool, they are divided into 2 age groups, with each group using the pool at different times. Also, L1 and S1 stated L1 would always be the person supervising the children when the pool is in use.

According to LPA’s observations on 07/27/2023 the pool was covered and not in use. LPA observed the back door to the pool to be locked with a latch on the top making it inaccessible to daycare children. On 09/29/2023, LPA observed an added fence, making the pool inaccessible to daycare children. Also, during both days, the facility was observed to be within ratio and the Licensee was present.

In addition, parent statements did not present any concerns regarding the allegations stating that the facility has a safe environment , L1 is almost always present, and they have seen additional staff caring for children. Parents (P2-P3) stated they have been notified of L1’s absence due to a personal emergency, with P2 stating at least one staff member was present during that time and when L1 needed to pick up children or had an appointment. Furthermore, P5 stated they would receive notifications of L1’s days off/closure or when their child cannot attend for the day to ensure the facility is not over capacity. P3 & P5 stated they have been notified of when the children will be using the pool. P2 & P4 further stated that children are split into two groups when using the pool; confirming L1’s statement. Children interviews did not reveal any current concerns about the facility, or the allegations presented.

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. This report was reviewed and discussed with Licensee, Nahani Bohan. 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: 09/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2023

LIC9099 (FAS) - (06/04)

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