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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 283010138
Report Date: 01/29/2024
Date Signed: 03/05/2024 12:52:24 PM

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
11/15/2023 and conducted by Evaluator Melinda Mohr
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20231115105236
FACILITY NAME:HOPPER CREEK MONTESSORIFACILITY NUMBER:
283010138
ADMINISTRATOR:ELIZABETH FOSTERFACILITY TYPE:
850
ADDRESS:2141 2ND STREETTELEPHONE:
(707) 231-8768
CITY:NAPASTATE: CAZIP CODE:
94559
CAPACITY:35CENSUS: 15DATE:
01/29/2024
UNANNOUNCEDTIME BEGAN:
02:16 PM
MET WITH:Brenna RothTIME COMPLETED:
03:31 PM
ALLEGATION(S):
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Staff did not complete mandated reporter training.
INVESTIGATION FINDINGS:
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**This is an amended report to document that the administrator listed above left the facility on 04/29/2022 and did not work at the facility during the time of the incident listed in this report.**
Licensing Program Analyst (LPA) Mindy Mohr made an unannounced complaint investigation visit today, and met with Licensee, Brenna Roth for the purpose of delivering findings of the above allegation. LPA Mindy Mohr previously met with Brenna on 11/16/2023 to open the complaint.
During the course of the investigation, LPA Mohr conducted interviews, received documents and made observations. From 11/16/2023 through 01/25/2024, interviews were conducted with four staff (A1-A4), five children (C1-C5), and ten adults (A5-A14).During the course of the investigation it was revealed that one staff member A3 had an expired Mandated Reporter Certificate which expired July 2023 as well as two staff A1 and A4 had not taken the Mandated Reporter training since being hired by the facility. Both A1 and A4 had been employed by the facility for longer than 90 days.

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

DATE: 03/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2024
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-20231115105236
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: HOPPER CREEK MONTESSORI
FACILITY NUMBER: 283010138
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/29/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/29/2024
Section Cited
HSC
1596.8662(b)(3)
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1596.8662(b)(3) On and after January 1, 2018, a person who becomes an administrator or employee of a licensed child day care facility shall complete the mandated reporter training ... within the first 90 days that he or she is employed at the facility and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.
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Licensee stated that all staff will take and complete their Mandated Reporter trainings. Licensee will email completed Certificates to LPA Mohr @ Melinda.Mohr@dss.ca.gov.
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This is not evidence by:

Staff A1 and A4 had not taked the Mandated Reporter training upon being hired and within the 90 days. A3 had an expired Mandated Reporter Certificate 07/2023 and did not renew within the 2 years as required.
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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: 01/29/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3