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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 483009902
Report Date: 08/20/2026
Date Signed: 08/23/2026 05:36:06 PM

Unsubstantiated


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
05/20/2026 and conducted by Evaluator Leticia Rosales
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20260520162219
FACILITY NAME:BOUCHARD, STACY FCCHFACILITY NUMBER:
483009902
ADMINISTRATOR:BOUCHARD, STACYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 730-3089
CITY:FAIRFIELDSTATE: CAZIP CODE:
94534
CAPACITY:14CENSUS: 6DATE:
08/20/2026
UNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Stacy BouchardTIME COMPLETED:
03:35 PM
ALLEGATION(S):
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Licensee did not prevent animal from biting day care child resulting in injury.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Leticia Rosales-Meza conducted a subsequent complaint investigation inspection, for the purpose of delivering complaint findings, and met with the Licensee, Stacy Bouchard. It was alleged that Licensee did not prevent animal from biting day care child resulting in injury, specifically that a cat jumped on Child 1 (C1’s) lap unprovoked and proceeded to crawl down and bit C1’s leg.

During the initial complaint investigation to the facility on 05/26/26, LPA Rosales-Meza toured the facility, and records were reviewed. LPA requested and received a current facility roster of children in care, and received records. LPA conducted an interview with the Licensee and Staff 1 (S1). The Licensee denied the allegation and stated, my assistant and I were at the facility all day and did not observe nor witness Child 1 (C1) get hurt or tell us about any sort of an injury. Licensee stated C1 had a normal day like usual, C1 was fine when left with parent, C1 smiled, gave us hugs, C1 grabbed C1’s stuff and waved good-bye. Licensee stated S1 nor I did not observe any interaction between C1 and the cat.

Continued on LIC9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Leticia Rosales
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2026
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 2
Control Number 01-CC-20260520162219
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: BOUCHARD, STACY FCCH
FACILITY NUMBER: 483009902
VISIT DATE: 08/20/2026
NARRATIVE
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S1 stated Licensee asked me if I've had seen at any time C1 engage with the cat. I said, "no, I did not". S1 stated C1 was the "Special Helper" of the day, my eyes were focused on C1 and C1 was really close to me. S1 stated the cat doesn't jump on anybody's lap. S1 stated C1 was busy that day in question being "Special Helper" of the day and was perfectly fine.

During the complaint investigation, LPA conducted an interview with Parent (P1) on 08/20/26. P1 reported "no skin broken, C1 was fine". P1 stated that C1 told her that the cat nipped C1, it wasn't a bite, there were two marks on C1's leg, red spot only.

Interviews conducted with Children 2 - 4 (C2-C4) on 8/20/26. C2-C4 did not provide any corroborating information to support the allegation.

Based on interviews conducted and records reviewed, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is Unsubstantiated.

There was no Title 22 deficiency cited based on the above finding. Exit interview conducted and report was reviewed and discussed with the Licensee. Appeal rights were provided.

A notice of site visit was given and must remain posted for 30 days, from today's inspection. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Leticia Rosales
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2026
LIC9099 (FAS) - (06/04)
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