283009663-10-14-2022-01-CC-LLEI-CKCRS2-20221019131558

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 283009663
Report Date: 10/14/2022
Date Signed: 10/14/2022 11:40:43 AM

Unsubstantiated

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
06/30/2022 and conducted by Evaluator Kevin O'Connell

COMPLAINT CONTROL NUMBER: 01-CC-20220630141903

FACILITY NAME:	LITTLE IVY PRESCHOOL		FACILITY NUMBER:	283009663
ADMINISTRATOR:	KAYLEE ANDRES		FACILITY TYPE:	850
ADDRESS:	2201 PINE STREET		TELEPHONE:	(707) 257-1185
CITY:	NAPA	STATE: CA	ZIP CODE:	94559
CAPACITY:	45	CENSUS: 38	DATE:	10/14/2022
		UNANNOUNCED	TIME BEGAN:	10:35 AM
MET WITH:	Kaylee Andres		TIME COMPLETED:	11:55 AM

ALLEGATION(S):

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Lack of supervision resulting in child inappropriately touching another child in care.
Staff is not capable of providing care and supervision to children in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst, Kevin O’Connell made a subsequent complaint investigation on 10/14/2022 at 10:35am and met with the Facility Representative, Kaylee Andres (S1), to deliver the findings regarding the above allegations. LPA, Elpidia Hernandez Torres previously met with Director Kaylee Andres on 7/7/22 to initiate the investigation by discussing the purpose of the visit, requesting a facility roster of the children currently in care, conducting interview(s), and making observations.
It was alleged that there was a lack of supervision resulting in a child inappropriately touching another child in care during water play, and staff is not capable of providing care and supervision to children in care specifically regarding an elderly staff member.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Kevin O'Connell
LICENSING EVALUATOR SIGNATURE:	DATE: 10/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2022

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-20220630141903

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: LITTLE IVY PRESCHOOL	FACILITY NUMBER: 283009663
	VISIT DATE: 10/14/2022

NARRATIVE

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Investigation consisted of five Staff (S1-S5) interviewed on 5/25/22, 10/11/22 & 10/12/22, seven Parents (P1-P7) interviewed on 5/25/22, 10/11/22 & 10/12/22, Licensee (L) interviewed on 7/7/22 & 10/12/22, , two Children (C1 & C2) interviewed 5/25/22, document review and observations made 5/25/22 & 7/7/22. Some children were not verbal, too young to interview, or did not qualify to be interviewed.

Adult statement ( A1) reported that child (C1) expressed to them that child (C1) was touched inappropriately by child (C2) in the play yard but no other individuals or staff were able to confirm that they saw that incident occur. LPA observed adequate overlapping, spaced out supervision coverage in the play yard and staff interviewed S2-S5 reported that three to four staff are always in the yard supervising children during outside play. Parents (P1-P7) had no issues with staff supervision. Children did not corroborate the allegation.

Staff S2 reported that one of the teachers that was elderly would ask for help with certain tasks like opening a container for the children. S3 stated that she had to remind staff in question to drink water during hot days so as to not feel disoriented. Licensee (L1) stated that he kept a close eye on staff in question and that she was reported to be at full capacity. L1 eventually changed staff in question's duties to reading to the children and she was not included in the ratio. This staff member retired in June, 2022.
Parent interviews could not corroborate the above allegations.

Based on the information gathered during this investigation through interviews and observations, although the allegations may have happened or are 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 on the above allegations. This report was reviewed and discussed with the Facility Representative, Kaylee Andres. 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: Kevin O'Connell
LICENSING EVALUATOR SIGNATURE:	DATE: 10/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2022

LIC9099 (FAS) - (06/04)

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