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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 283009825
Report Date: 12/04/2023
Date Signed: 12/04/2023 10:18:42 AM

Substantiated


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
09/25/2023 and conducted by Evaluator Melinda Mohr
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20230925130301
FACILITY NAME:NAPA VALLEY COLLEGE CHILD & FAMILY P/S BY NCOEFACILITY NUMBER:
283009825
ADMINISTRATOR:DE LA CRUZ, MAYRAFACILITY TYPE:
850
ADDRESS:2277 NAPA VALLEJO HWY BLD 3000TELEPHONE:
(707) 256-7040
CITY:NAPASTATE: CAZIP CODE:
94558
CAPACITY:68CENSUS: 19DATE:
12/04/2023
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Mayra De La CruzTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Staff did not prevent a child in care from wandering away from the facility.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Mindy Mohr made an unannounced complaint investigation visit today, and met with Site Supervisor, Mayra De La Cruz, for the purpose of delivering the findings of the above allegation. LPAs Mindy Mohr and Cindy Castro previously met with Child Development Coordinator, Michele Eggert, on 10/04/2023 to open the complaint. A subsequent visit was made on 10/23/2023 to further investigate the complaint which alleged that staff did not prevent a child in care from wandering away from the facility.

During the course of the investigation LPA, Mohr toured the facility, received documents, conducted interviews, and made observations. From 10/04/2023 through 11/21/2023, interviews were conducted with Child Development Coordinator, Site Supervisor, 4 staff (S1-S6), one child (C2), two adults (A1 & A6) and attempted other adult interviews.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melinda Mohr
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2023
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 5
Control Number 01-CC-20230925130301
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: NAPA VALLEY COLLEGE CHILD & FAMILY P/S BY NCOE
FACILITY NUMBER: 283009825
VISIT DATE: 12/04/2023
NARRATIVE
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All staff interviews conducted confirmed that C1 did leave the classroom unnoticed and wandered into the parking lot. Interviews varied on how the child was able to leave the classroom unsupervised. When S2 realized C1 was outside, S2 immediately left the classroom to get C1. S2 noticed the gate to the parking lot was open and saw C1 standing by a car in the parking lot which was approximately 50 to 60 feet from the sidewalk. When S2 reached C1, C1 ran further away but C1 was in view the entire time they were running through the parking lot. S4 was in the classroom at the time C1 ran out but went out of the classroom to help S2. S5 was in the classroom with the other children while S2 and S4 were out with C1. Staff stated that the entire incident lasted approximately one minute.

Based on the investigation, the preponderance of evidence standard has been met. 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. Appeal rights were provided.

Exit interview was conducted and report dated 12/04/2023, which documents one Type A citation, was reviewed with the Site Supervisor, Mayra De La Cruz who was informed that Type A citations shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Mohr informed the facility representative to provide a copy of this licensing report dated 12/04/2023 that documents any Type A citation 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 enrolling 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.

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.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melinda Mohr
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 5
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
09/25/2023 and conducted by Evaluator Melinda Mohr
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20230925130301

FACILITY NAME:NAPA VALLEY COLLEGE CHILD & FAMILY P/S BY NCOEFACILITY NUMBER:
283009825
ADMINISTRATOR:DE LA CRUZ, MAYRAFACILITY TYPE:
850
ADDRESS:2277 NAPA VALLEJO HWY BLD 3000TELEPHONE:
(707) 256-7040
CITY:NAPASTATE: CAZIP CODE:
94558
CAPACITY:68CENSUS: 19DATE:
12/04/2023
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Mayra De La CruzTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Day-care child sustained injuries while in care.
Staff left day-care child in a soiled diaper for a long period of time.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Mindy Mohr made an unannounced complaint investigation visit today, and met with Site Supervisor, Mayra De La Cruz, for the purpose of delivering the findings of the above allegations. LPAs Mindy Mohr and Cindy Castro previously met with Child Development Coordinator Michele Eggert on 10/04/2023 to open the complaint. A subsequent visit was made on 10/23/2023 to further investigate the complaint which alleged day care child sustained injuries while in care and staff left day care child in a soiled diaper for a long period of time.
During the course of the investigation LPA, Mohr toured the facility, received documents, conducted interviews, and made observations. From 10/04/2023 through 11/21/2023, interviews were conducted with Child Development Coordinator, Site Supervisor, 4 staff (S1-S6), one child (C2), two adults (A1 & A6) and other adult interviews were attempted. Interviews with S1, S3 and S5 revealed that children do get hurt while at school, but mainly involves typical bruises and scratches from falling or playing. S1 stated when a child gets injured at school, they send a report to the parent and then to CCL if necessary. A1 stated they are not concerned of their child getting hurt at school as children fall often. There was no evidence to correlate the injuries to a violation of regulation.



Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melinda Mohr
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 01-CC-20230925130301
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: NAPA VALLEY COLLEGE CHILD & FAMILY P/S BY NCOE
FACILITY NUMBER: 283009825
VISIT DATE: 12/04/2023
NARRATIVE
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Statements from S1, S3 and S5 state that children have their diapers checked often and changed as needed. S3 also stated that children are scheduled for three times a day for diaper changes. Furthermore, interviews revealed that one child had just woken up from a nap with a soiled diaper, but the child ran straight to their guardian before the diaper could be changed. A1 stated their child is not in diapers so they are unsure of the policy with diaper changing.

Based on the information gathered during this investigation, although the allegation may have happened or is 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. This report was reviewed and discussed with the facility’s Site Supervisor, Mayra De La Cruz. 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: Melinda Mohr
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 01-CC-20230925130301
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: NAPA VALLEY COLLEGE CHILD & FAMILY P/S BY NCOE
FACILITY NUMBER: 283009825
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/04/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/04/2023
Section Cited
CCR
101229(a)(1)
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101229(a)(1)
101229(a)(1) Responsibility for Providing Care and Supervision: (a) The licensee shall provide care and supervision....(1) No child(ren) shall be left without the supervision of a teacher at any time,...This requirement was not met as evidenced by:

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Site Supervisor has had multiple staff meetings regarding supervision, and has added signage to the front gate about latching the gate when going in and out. Site Supervisor has also sent out email to families, and had parents meetings reminding families to latch the main gate.
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Based on interviews it was revealed that C1 did leave the classroom unnoticed and wandered into the parking lot.
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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: Leslie Lepori
LICENSING EVALUATOR NAME: Melinda Mohr
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 5