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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 283009825
Report Date: 06/04/2026
Date Signed: 06/04/2026 02:05:58 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
03/13/2026 and conducted by Evaluator Jennifer Patel
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20260313092331
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: 9DATE:
06/04/2026
UNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Andrea KarjackTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff did not provide adequate supervision to children in care.
Staff did not ensure that furnishings in classroom were properly secured.
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 Site Supervisor, Andrea Karjack (SS), for the purpose of delivering findings related to the above allegations. LPA Jessica Gaumann previously met with SS on 3/19/2026 to open the complaint. During the course of the investigation, LPA Jen Patel conducted interviews, received documents and made observations. From 4/30/2026 to 6/1/2026 interviews were conducted with SS, one staff (S1), and three parents (P1-P3). Additional staff and parent interviews were attempted.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Melinda Mohr
LICENSING EVALUATOR NAME: Jennifer Patel
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2026
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-20260313092331
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: NAPA VALLEY COLLEGE CHILD & FAMILY P/S BY NCOE
FACILITY NUMBER: 283009825
VISIT DATE: 06/04/2026
NARRATIVE
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Interview with SS reported that she was in her office and not present in the room at the time of the incident. SS confirmed the incident did occur, further stating a bookshelf was pushed over in the classroom, which fell onto the child standing next to the light table. SS reported that since the incident, all furniture, including bookshelves, has been anchored to the wall using L shaped brackets. Staff reviewed supervision protocols, including maintaining visual supervision and following safety procedures.

Interview with S1 reported they were seated at the table, supervising another child. S1 reported that they were the closest staff member to the incident, while the other staff member was working at a separate table across the room. S1 stated that C2 was playing in the circle time area on the other side of the bookshelf that they pushed over. S1 reported they heard a noise and when S1 looked up, saw the bookshelf (31”high x 12”wide x 48”long) tilting toward C1, who was on the opposite side of the bookshelf playing at the light table. S1 immediately approached and observed that C1, was on the ground but not trapped. S1 stated the light table may have prevented the bookshelf from fully falling onto C1.

P3 interview revealed when they arrived at the facility following the incident, the shelf involved was already upright .

Based on LPA’s interviews and observations, the preponderance of evidence standard is satisfied. Therefore, the above allegations are 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, Andrea Karjack. 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.
SUPERVISORS NAME: Melinda Mohr
LICENSING EVALUATOR NAME: Jennifer Patel
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 01-CC-20260313092331
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: NAPA VALLEY COLLEGE CHILD & FAMILY P/S BY NCOE
FACILITY NUMBER: 283009825
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/04/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/02/2026
Section Cited
CCR
101229(a)(10
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a. 101229 (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.

This was not met as evidenced by:
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SS stated that she will review supervison handouts provided to her by LPA Jen Patel and have all staff sign off that they have reviewed and provided a copy to Jennifer.patel@dss.ca.gov.
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Based on LPA observation and interviews, on 3/11/2026 staff did not have visual supervision of C1 and C2 resulting in C2 pushing over a bookshelf on to C1 which poses a potential risk to the health, safety, and personal rights of persons in care.
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Type B
07/02/2026
Section Cited
CCR
101223(a)
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101223 (a)The licensee shall ensure that each child is accorded the following personal rights:(2)To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.

Which was not met as evidenced by:
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SS reported that since the incident, all furniture, including bookshelves, have been anchored to the wall using L shaped brackets. SS will complete a daily inspection of the furniture until 7/1/26 and provide LPA Jen Patel with a report of the daily inspections by POC due date, 7/2/26.
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Based on LPA interview, facility did not ensure bookshelfs (31”high x 12”wide x 48”long) were properly secured resulting in one bookshelf falling onto C1 which poses a potential risk to the health, safety, and personal rights of persons 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: Melinda Mohr
LICENSING EVALUATOR NAME: Jennifer Patel
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2026
LIC9099 (FAS) - (06/04)
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