<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 283010138
Report Date: 11/07/2024
Date Signed: 11/07/2024 11:54:26 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
08/29/2024 and conducted by Evaluator Melinda Mohr
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20240829160234
FACILITY NAME:HOPPER CREEK MONTESSORIFACILITY NUMBER:
283010138
ADMINISTRATOR:TAMARA KINMANFACILITY TYPE:
850
ADDRESS:2141 2ND STREETTELEPHONE:
(707) 231-8768
CITY:NAPASTATE: CAZIP CODE:
94559
CAPACITY:35CENSUS: 12DATE:
11/07/2024
UNANNOUNCEDTIME BEGAN:
08:47 AM
MET WITH:Tamara KinmanTIME COMPLETED:
10:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not comply with parent notification requirements
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Mindy Mohr made an unannounced complaint investigation visit today and met with Director Tamara Kinman for the purpose of delivering findings for the above allegation. LPA Mindy Mohr previously met with Director Tamara Kinman on 09/03/2024 to open the complaint. A subsequent visit was made on 10/07/2024 to further investigate the complaint.

During the course of the investigation, LPA Mohr conducted interviews, received documents, and made observations. From 08/09/2024 through 10/16/2024, interviews were conducted with Licensee (L1), one staff (S1) and nine adults (A11 - A14 & A16-A20).

L1 denied the allegation and stated all parents of both enrolling and currently enrolled children have received all reports, specifically the Type A report dated 08/02/2024 which totaled four pages. In addition, L1stated that when a new student is enrolling S1 speaks with the parents regarding the Type A citations as well as gives them the reports, so that all parents are aware of any citations before enrolling their children.
(Continued on LIC9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melinda Mohr
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024
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 5
Control Number 01-CC-20240829160234
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
VISIT DATE: 11/07/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
 S1 stated that all the parents, both enrolling and currently enrolled children have been notified of the Type A citations and that L1 put together the reports to give to the parents. S1 stated the report that was handed out to parents was 2 pages. LPA received and reviewed the report that was given to parents. Upon LPAs review it was observed the first page was a letter from L1 and the second page was one of the four-page Complaint Investigation Report dated 08/02/2024.

Adult interviews (A11-A14 & A16-A20) stated that they were either not informed of or not given the full report of the Type A violation dated 08/02/2024. Six adult interviews confirmed the report they had received was two pages, while four adult interviews revealed they had not received the report. A17 & A19 specifically stated that they were made aware of the Type A violation during their interview with the LPA on 09/03/2024. The parent interviews pertained to children who were either currently enrolled or newly enrolling children, including one child was a currently enrolled child on 08/02/2024, while the other child was a newly enrolled child. Furthermore, A18 – A20 all stated the facility made it sound like ‘it was not a big deal’ with some stating the citation was due to a prior staff or that L1 was appealing the citation. To date, Community Care Licensing has not received an appeal of any issued citation.

Evidence received identified the information provided to parents or legal guardians did not meet regulatory requirements as they were only provided page one of the four-page Complaint Investigation Report.

Therefore, based on the investigation, the preponderance of evidence standard has been met. Therefore, the above allegation are found to be substantiated. The following violations of the Health and Safety Code section 1596.895; see LIC 9099D. Licensee is also being cited a civil penalty of $250 for a repeat violation within a 12 month period. Appeal rights were provided.

Exit interview was conducted, and report reviewed with Director Tamara Kinman.

A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melinda Mohr
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024
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
08/29/2024 and conducted by Evaluator Melinda Mohr
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20240829160234

FACILITY NAME:HOPPER CREEK MONTESSORIFACILITY NUMBER:
283010138
ADMINISTRATOR:TAMARA KINMANFACILITY TYPE:
850
ADDRESS:2141 2ND STREETTELEPHONE:
(707) 231-8768
CITY:NAPASTATE: CAZIP CODE:
94559
CAPACITY:35CENSUS: 12DATE:
11/07/2024
UNANNOUNCEDTIME BEGAN:
08:47 AM
MET WITH:Tamara KinmanTIME COMPLETED:
10:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not post licensing documents in required area
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Mindy Mohr made an unannounced complaint investigation visit today and met with Director Tamara Kinman for the purpose of delivering findings for the above allegation. LPA Mindy Mohr previously met with Director Tamara Kinman on 09/03/2024 to open the complaint. A subsequent visit was made on 10/07/2024 to further investigate the complaint.

During the course of the investigation, LPA Mohr conducted interviews, received documents, and made observations. From 08/09/2024 through 10/16/2024, interviews were conducted with Licensee (L1), one staff (S1) and nine adults (A11 - A14 & A16-A20).

L1 denied the allegation stating they post the site visit on the window; it is not hidden. S1 stated the notice of site visit was posted right above the sign in / out binder. S1 also stated it was posted on Friday (08/30/2024) when she left, and that L1 had taken it down over the weekend.
(Continued on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melinda Mohr
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024
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-20240829160234
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
VISIT DATE: 11/07/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
 Adult interview (A16) indicated the notice of site visit was covered up under a snack sign-up sheet on the window, while A20 stated they have seen postings by the door but was unsure if they were licensing reports. During LPAs visit on 09/03/2024 the required postings pertaining to the visit on 08/02/2024 were not observed, it was past the 30 consecutive day requirement the facility is to follow regarding posting requirements.

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 allegation occurred and therefore is determined to be unsubstantiated. There were no Title 22 deficiencies cited. This report was reviewed and discussed with the Director, Tamara Kinman. Appeal rights were provided. 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: Leslie Lepori
LICENSING EVALUATOR NAME: Melinda Mohr
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 01-CC-20240829160234
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: 11/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/21/2024
Section Cited
HSC
1596.8595(c)(1)
1
2
3
4
5
6
7
(c)(1) A licensed child day care facility shall provide to the parents or guardians of each child receiving services in the facility copies of any licensing report that documents any Type A citation that represents an immediate risk to the health, safety, or personal rights of children in care as set forth in paragraph (1) of subdivision (a) of Section 1596.893b
1
2
3
4
5
6
7
Director stated they have changed the process on how they are handing out the report. The entire report is copied and given to the families and will have the parents or guardians sign a new LIC9224. Director stated she will physically hand the parents the report and have a conversation with each family regarding the Type A citations.
8
9
10
11
12
13
14
This requirement is not met as evidenced by: Based on interviews it was revealed that parents of children receiving services where not provided the entire licening report dated 08/02/2024 that documented a Type A citation.
This poses a potenial health and safety risk to the children in care.
8
9
10
11
12
13
14
Type B
11/21/2024
Section Cited
HSC
1596.8595(c)(2)
1
2
3
4
5
6
7
(c)(2) Upon enrollment of a new child in a facility, the licensee shall provide to the parents or legal guardians of the newly enrolling child copies of any licensing report that the licensee has received during the prior 12-month period that documents any Type A citation that represents an immediate risk to the health, safety, or personal rights of children in care as set forth in paragraph (1) of subdivision (a) of Section 1596.893b.
1
2
3
4
5
6
7
Director stated they have changed the process on how they are handing out the report. The entire report is copied and given to the families and will have the parents or guardians sign a new LIC9224. Director stated she will physically hand the parents the report and have a conversation with each family regarding the Type A citations.
8
9
10
11
12
13
14
This requirement is not met as evidenced by: Based on interviews it was revealed that parents of newly enrolled children where not provided the licening report dated 08/02/2024 that documented a Type A citation.
This poses a potenial health and safety risk to the children in care.
8
9
10
11
12
13
14
Director also stated she will talk with families before they enroll in the school.Director will email LPA Mohr at melinda.mohr@dss.ca.gov a statement of the new procedure.
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: 11/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 5