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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343618926
Report Date: 09/15/2022
Date Signed: 09/15/2022 09:57:14 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/19/2022 and conducted by Evaluator Lea Habtom
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20220719130458
FACILITY NAME:WOOD-HANSEN, CHERYLFACILITY NUMBER:
343618926
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 2DATE:
09/15/2022
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Cheryl Wood-HansenTIME COMPLETED:
10:15 AM
ALLEGATION(S):
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Licensee speaks inappropriately to child in care
Child was not accorded dignity in personal relationships with Licensee
INVESTIGATION FINDINGS:
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On September 15, 2022 Licensing Program Analyst (LPAs) Lea Habtom and Amanda Blesi met with Licensee Cheryl Wood-Hansen to close the complaint for the above allegations. Upon arrival, LPA observed 2 children being supervised by Licensee. No other adults were present in the home during today's visit.

Licensee speaks inappropriately to child in care

During the investigation, LPA Habtom toured the facility, conducted observation, and interviewed those pertinent to the investigation. It was alleged that a personal rights violation occurred when the licensee spoke inappropriately to a child in care. Interviews revealed that the licensee speaks respectfully and kindly to children in care. LPA L. Habtom was unable to gather corroborating information to validate that a personal rights violation occurred when the licensee speaks to children in care therefore the allegation is found to be UNSUBSTANTIATED. Although it may or may have not happened, there is not a preponderance of evidence to prove that the alleged violations occurred.

Report continued on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2022
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 2
Control Number 03-CC-20220719130458
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: WOOD-HANSEN, CHERYL
FACILITY NUMBER: 343618926
VISIT DATE: 09/15/2022
NARRATIVE
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Child was not accorded dignity in personal relationships with Licensee

During the investigation, LPA Habtom toured the facility, conducted observation, and interviewed those pertinent to the investigation. It was alleged that a personal rights violation occurred when a child was not accorded dignity in personal relationship with the licensee. Interviews revealed that the children and parents are not fearful of the licensee and that the children enjoy going to the licensee’s home for care. LPA L. Habtom was unable to gather corroborating information to validate that a personal rights violation occurred a child was not accorded dignity in the personal relationship with the licensee therefore the allegation is found to be UNSUBSTANTIATED. Although it may or may have not happened, there is not a preponderance of evidence to prove that the alleged violations occurred.

No Title 22 violations were cited during today's visit.

Licensee does not agree with the findings and appeal rights were provided.

SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2