<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 233002483
Report Date: 05/07/2024
Date Signed: 05/07/2024 11:59:41 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
05/01/2024 and conducted by Evaluator Robert Maciel
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20240501151409
FACILITY NAME:NCO HEAD START - CHILD DEV. CTR. - NOKOMISFACILITY NUMBER:
233002483
ADMINISTRATOR:ANNA CRUMPLERFACILITY TYPE:
850
ADDRESS:499 WASHINGTON AVE.TELEPHONE:
(707) 462-2671
CITY:UKIAHSTATE: CAZIP CODE:
95482
CAPACITY:60CENSUS: 32DATE:
05/07/2024
UNANNOUNCEDTIME BEGAN:
09:32 AM
MET WITH:Anna CrumplerTIME COMPLETED:
11:06 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not notify day care children's parents of incident.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 5/7/24, Licensing Program Analyst (LPA) Robert Maciel conducted an unannounced complaint visit, and met with Director Anna Crumpler. It was alleged that staff did not notify day care children's parents of an unusual incident that occured at the facility on 5/1/24. Staff and adults were interviewed on 5/7/24, which do not corroborate the allegation. During today’s visit, the facility was toured and records were reviewed.

Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, and the findings are unsubstantiated. An exit interview was conducted with Director Anna Crumpler. 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.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Robert Maciel
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 1