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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 233009679
Report Date: 07/18/2023
Date Signed: 07/18/2023 10:38:37 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
06/16/2023 and conducted by Evaluator Robert Maciel
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20230616165633
FACILITY NAME:IMAGINATION STATION-INFANT CENTERFACILITY NUMBER:
233009679
ADMINISTRATOR:RODRIGUEZ, SAPRINAFACILITY TYPE:
830
ADDRESS:262 EAST COMERCIAL STREETTELEPHONE:
(707) 459-6543
CITY:WILLITSSTATE: CAZIP CODE:
95490
CAPACITY:30CENSUS: 19DATE:
07/18/2023
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Saprina RodriguezTIME COMPLETED:
10:50 AM
ALLEGATION(S):
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9
Facility is operating out of ratio.
INVESTIGATION FINDINGS:
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13
Licensing Program Analyst (LPA) Robert Maciel conducted an unannounced complaint investigation inspection, for the purpose of delivering complaints findings, and met with director Saprina Rodriguez. It has been alleged that the facility is operating out of ratio.
During the initial complaint investigation to the facility on 06/23/23, LPA Maciel conducted interviews with six staff. Interviews staff 1 through staff 6 all stated that they maintain appropriate staff ratios. On 6/23/23 LPA Maciel observed staff maintaining appropriate ratio with 22 children in care supervised by 6 staff.

Although, the facility may have been operating out of ratio, interviews and observation do not corroborate that the facility was operating out of ratio. Based on observations and interviews conducted, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that an alleged violation occurred, therefore, the allegation is unsubstantiated.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Robert Maciel
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2023
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 2
Control Number 01-CC-20230616165633
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: IMAGINATION STATION-INFANT CENTER
FACILITY NUMBER: 233009679
VISIT DATE: 07/18/2023
NARRATIVE
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This report was reviewed and discussed with director Saprina Rodriguez. Appeal rights were provided.

Notice of Site Visit shall be posted for 30 days from todays visit. Failure to comply with posting requirement shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Robert Maciel
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2