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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483001097
Report Date: 09/04/2024
Date Signed: 09/04/2024 02:09:30 PM

Document Has Been Signed on 09/04/2024 02:09 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:HEAD START - KIDDERFACILITY NUMBER:
483001097
ADMINISTRATOR/
DIRECTOR:		CHAND, VERONICAFACILITY TYPE:
850
ADDRESS:1657 KIDDER AVENUETELEPHONE:
(707) 304-2015
CITY:FAIRIFELDSTATE: CAZIP CODE:
94533
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 7DATE:
09/04/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Veronica ChandTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
NARRATIVE
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Licensing Program Analyst (LPA) Glenn Ouye returned to the facility to complete interviews regarding a self reported incident where a teacher used inappropriate language and also handled children in an inappropriately rough manner.

LPA Ouye interviewed two staff who witnesses the event which occurred on June 26, 2024 just after the facility conducted a fire drill. The children and staff were returning to the classroom when staff S1 who was one of the staff bringing the children back into the classes told two children to hold hands while walking back into the class. The children may not have understood or did not hear the teacher and did not hold hands. S1 then raised her voice while instructing the children to hold hands and grabbed the children's arms force them to hold hands. This was witnessed by staff S2 and S3. Staff 2 also witnessed S1 swearing in front of the children on multiple occasions. Staff S2 explained to S1 that swearing in front of children is inappropriate and should never occur in the presence of children, however S1 did swear on more than once occasion in front of the children. The action of the staff S1 swearing in front of children and grabbing the child in a rough manner is a violation of the child's personal rights.

The facility management planned to meet with S1 to address the violations of internal policy and procedures and to provide retraining for S1, however S1 resigned on June 27, 2024.

The following violation(s) of the California Code of Regulations, Title 22; Division 12, were observed: see LIC 809D. Appeal Rights were provided.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE: DATE: 09/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/04/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/04/2024 02:09 PM - It Cannot Be Edited


Created By: Glenn Ouye On 09/04/2024 at 01:34 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: HEAD START - KIDDER
FACILITY NUMBER: 483001097

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/04/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/04/2024
Section Cited
CCR
101223(a)(1)

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Personal Rights-he licensee shall ensure that each child is accorded the following personal rights:To be accorded dignity in his/her personal relationships with staff and other persons. The requirement has not been met as evidenced through interviews with staff S2 & S3 who witnessed S1 speaking and handling
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The deficieny is cleared as the licensee offered a formal retraing plan specificallly for S1. A copy of the plan was submitted to the department as part of the plan of correction.
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children in an inappropriate manner that volated their personal right. This poses a immediate personal rights violation to the children 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.
SUPERVISOR'S NAME:Leslie Lepori
LICENSING EVALUATOR NAME:Glenn Ouye
LICENSING EVALUATOR SIGNATURE:
DATE: 09/04/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/04/2024


LIC809 (FAS) - (06/04)
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