283008881-4-8-2026-01-CC-MMOR-DT6SF5-20260415134947

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 283008881
Report Date: 04/08/2026
Date Signed: 04/08/2026 01:41:32 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC 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
01/26/2026 and conducted by Evaluator Jennifer Patel

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20260126113859

FACILITY NAME:	WISNIEWSKI, JACQUELINE FCCH		FACILITY NUMBER:	283008881
ADMINISTRATOR:	WISNIEWSKI, JACQUELINE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(415) 306-2491
CITY:	NAPA	STATE: CA	ZIP CODE:	94558
CAPACITY:	14	CENSUS: 7	DATE:	04/08/2026
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Jacqueline Wisniewski		TIME COMPLETED:	01:40 PM

ALLEGATION(S):

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Staff handled child in care in a rough manner resulting in an injury

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jen Patel conducted an unannounced complaint investigation visit to the facility and met with the licensee, Jacqueline Wisniewski (L1), for the purpose of delivering findings related to the above allegation. LPA Jen Patel met with L1 on 2/04/2026 to open the complaint. During the course of the investigation, LPA Patel conducted interviews, received documents, and made observations. From 2/3/2026 to 4/2/2026, interviews were conducted with L1, two staff (S1, S2), four children (C4-C7), and six parents (P1-P6). Additional adult interviews were attempted.

L1 denied the allegation, stating she has not pulled a child’s ear and has not pinched or hit a child. L1 further stated that when children don’t follow the rules, she uses redirection. S1 stated that L1 does not hit or pinch children and that none of the parents have reported that their child was handled roughly. S2 stated they have not seen L1 or S1 be rough with children.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Melinda Mohr
LICENSING EVALUATOR NAME: Jennifer Patel
LICENSING EVALUATOR SIGNATURE:	DATE: 04/08/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2026

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-20260126113859

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: WISNIEWSKI, JACQUELINE FCCH	FACILITY NUMBER: 283008881
	VISIT DATE: 04/08/2026

NARRATIVE

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P1 stated that on two separate occasions, a week apart, C1 sustained a scratch to the genital area, and there was no notification from L1 on the day of the injuries. When P1 sent L1 a picture of the scratch, L1 denied that it was an injury that occurred in her care. LPA Patel received evidence confirming there was an injury to the genital area. P1 further stated that C1 would start crying when they realized they were on the way to L1’s house. When picking up L1 from daycare, C1’s voice was hoarse as if they had been crying all day.
P2 stated they had an awful experience and C8 would scream their head off when getting dropped off. C2 would say “I don’t want to go”. P2 stated L1 grabbed C2’s arm and L1 would get upset when C2 wore their shoes in the house. P2 further stated that C2 pointed to their hair, saying L1 would pull their hair. P2 stated L1 would snap at her and always complain that C8 cried a lot. At drop off, L1 would snatch the binky out of C8’s mouth and say they couldn’t have the binky and slam the door so P2 couldn’t say anything.
P3 stated on 12/12/2026, C3 had an injury to the ear, which P3 noticed as they were buckling C3 into the car during pick up. On the same day, L1 informed P3 that C3 had not napped and was cranky, so P3 decided to pick C3 up early. P3 stated that the injury was not present when they dropped C3 off at the facility in the morning. L1 did not notify P3 about the injury or explain how it occurred. LPA Patel received evidence confirming there was an injury to the ear. Additionally, P3 mentioned that C3 would cry and tense up during drop-off at L1’s house, indicating that C3 appeared to be in distress, nervous, and upset.
C4 stated that when they get in trouble, L1 pinches them on the chin. C4 also stated that when they don’t sleep, L1 hits them on the head with a finger. C5 also stated L1 pulls their ear, and it hurts when L1 pinches them on the chin.
Based on LPA’s interviews and observations, the preponderance of evidence standard is satisfied. Therefore, the above allegation is found to be substantiated. The following violations of the California Code of Regulations, Title 22; Division 12: see LIC 9099D.
This report was reviewed and discussed with the facility’s representative, Jacqueline Wisniewski. Appeal rights were provided. A Notice of Site Visit shall be posted for 30 days from today’s visit. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
LPA Jen Patel informed licensee Jacqueline Wisniewski that this report dated 4/8/2026 document(s) one Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Jen Patel informed the licensee, Jacqueline Wisniewski to provide a copy of this licensing report dated 4/8/2026 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

SUPERVISORS NAME: Melinda Mohr
LICENSING EVALUATOR NAME: Jennifer Patel
LICENSING EVALUATOR SIGNATURE:	DATE: 04/08/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2026

LIC9099 (FAS) - (06/04)

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Control Number 01-CC-20260126113859

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: WISNIEWSKI, JACQUELINE FCCH	FACILITY NUMBER: 283008881
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/08/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 04/09/2026 Section Cited CCR 102423(a)(4)	1 2 3 4 5 6 7	Personal Rights (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (4) To be free from corporal or unusual punishment, infliction of pain,... or other actions of a punitive nature... This was not met as evidenced by:	1 2 3 4 5 6 7	L1 stated that she does not touch the kids unless I redirect them. L1 stated she already had a complaint about this.
	8 9 10 11 12 13 14	Based on LPA interviews, two of four children stated L1 handled them in a rough manner and three of six parents stated their child was handled in a rouch manner which poses a potential risk to the health, safety, and personal rights of persons in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Melinda Mohr
LICENSING EVALUATOR NAME: Jennifer Patel
LICENSING EVALUATOR SIGNATURE:	DATE: 04/08/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2026

LIC9099 (FAS) - (06/04)

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