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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 483009971
Report Date: 10/08/2025
Date Signed: 10/08/2025 02:02:24 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
07/14/2025 and conducted by Evaluator Robert Maciel
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20250714121202
FACILITY NAME:CASTON, MAXINE FCCHFACILITY NUMBER:
483009971
ADMINISTRATOR:CASTON, MAXINEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 557-4375
CITY:VALLEJOSTATE: CAZIP CODE:
94589
CAPACITY:14CENSUS: DATE:
10/08/2025
UNANNOUNCEDTIME BEGAN:
01:02 PM
MET WITH:Maxine CastonTIME COMPLETED:
02:16 PM
ALLEGATION(S):
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Infant received unexplained head injury while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Robert Maciel conducted a follow-up visit to present the findings of a complaint investigation. It was alleged that a child (C1) received an unexpected injury while in care to her head, specifically a burn on the child's forehead.

During today's visit, LPA met with Licensee, Maxine Caston (LS) who was supervising 7 children. LPA conducted interviews with LS, adults, and children between 7/14/25 and 10/06/25. LPA reviewed pictures taken of C1's injury which show the injury appeared to be a burn on the forehead. On 7/15/25, LPA interviewed LS who stated that on 7/10/25, she observed a child (C2) pull C1 by the legs while she was laying down and drag her a short distance off of the blanket she was laying on and onto the foam flooring. LS stated that while she originally believed the cause of the mark on C1's head was caused by C2 pulling her, she is now unsure that the mark was caused during daycare hours. During the initial complaint investigation visit, LS showed LPA the blanket and foam flooring that C1 was laying on and was dragged onto. Continued on LIC9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Robert Maciel
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2025
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-20250714121202
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: CASTON, MAXINE FCCH
FACILITY NUMBER: 483009971
VISIT DATE: 10/08/2025
NARRATIVE
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LPA observed that the foam flooring did not appear hard enough to cause a burn like the one pictured on C1. LPA interview of adults, parents, and children did not corroborate the allegation.

Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, and the findings are unsubstantiated. Appeal rights were provided and exit interview conducted. The Notice of Site Visit must be posted for 30 days.
SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Robert Maciel
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2