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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 233008548
Report Date: 02/03/2023
Date Signed: 02/03/2023 04:41:42 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
09/13/2022 and conducted by Evaluator Leticia Rosales
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20220913123604
FACILITY NAME:CEJA, BEATRIZ FCCHFACILITY NUMBER:
233008548
ADMINISTRATOR:CEJA, BEATRIZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 485-1135
CITY:UKIAHSTATE: CAZIP CODE:
95482
CAPACITY:14CENSUS: 9DATE:
02/03/2023
UNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Beatriz CejaTIME COMPLETED:
02:20 PM
ALLEGATION(S):
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Licensee demonstrated an inappropriate feeding technique for day-care children

Unsafe sleeping environment
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Leticia Rosales-Meza conducted a subsequent complaint investigation inspection, for the purpose of delivering complaint findings, and met with the Licensee, Beatriz Ceja. It has been alleged that Licensee demonstrated an inappropriate feeding technique for day-care children, specifically that two infants were in cribs with a couch pillow on top of each infant propping their bottles up in their mouths. It has been alleged unsafe sleeping environment, specifically that a bottle and couch pillow were in each crib with each infant.

During the initial complaint investigation to the facility on 09/20/22, records were reviewed. An interview was conducted with the Licensee on 09/20/22 at 3:25 PM. Licensee stated that her assistant told her when a parent came and picked up Child 1 (C1) and Child 2 (C2) were each in a separate a pack-n-play laying down propping their bottle up in their mouths, but the assistant was sitting on the couch right next to the cribs watching them being fed

Continue on LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Leticia Rosales
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2023
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 3
Control Number 01-CC-20220913123604
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: CEJA, BEATRIZ FCCH
FACILITY NUMBER: 233008548
VISIT DATE: 02/03/2023
NARRATIVE
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An interview was conducted with Staff 1 (S1) on 09/20/22 at 4:45 PM. S1 stated that she put the pack-n-plays side by side so C1 and C2 could be close together. S1 stated she didn't think it was an issue because each infant was in a separate crib and she was sitting down right next to the pack-n-plays watching infants closely being fed. S1 stated she put a small pillow with their own blanket rolled up for support to prop the bottle while being fed.

Based on available information, and records reviewed the preponderance of evidence standard has been met, therefore, the allegations are Substantiated.

The following violation of the California Code of Regulations, Title 22; Division 12, were observed: see LIC 9099D. Appeal Rights were provided. Reports citing Type A violations are to be provided to parents/guardians of children currently in enrolled and to parents/guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must sign Form LIC9224 to be kept in each child's file. Exit interview was conducted and report was reviewed and discussed with the Licensee, Beatriz Ceja.


A notice of site visit was given and must remain posted for 30 days from today's date.
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Leticia Rosales
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 01-CC-20220913123604
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: CEJA, BEATRIZ FCCH
FACILITY NUMBER: 233008548
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/03/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/03/2023
Section Cited
CCR
102423(a)(2)
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To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement is not met as evidenced by: Based on A1 observations on 9/08/22, C1 and C2 were laying in cribs with a
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Licensee stated that she and her assistant understand the "Safe Sleep" regulations and will never prop a bottle to infant's mouth. LPA provided a copy of the Safe Sleep regulations.
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pillow on top of each infant propping their bottles up in their mouths.

This poses an immediate health, safety, or personal rights risk to the children in care.
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Type A
02/03/2023
Section Cited
CCR
102425(b)
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Cribs or play yards shall be free from all loose articles and objects. This requirement was not met as evidenced by: Based on A1 observations on 9/08/22, a bottle and pillow were in each crib with C1 and C2.


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Licensee stated she will make sure there are no loose articles and objects in the cribs prior puting an infant to sleep. Licensee stated that her assistant understands this regulation as well.
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This poses an immediate health, safety, or personal rights risk to the children in care.
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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.
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Leticia Rosales
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2023
LIC9099 (FAS) - (06/04)
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