483010013-5-2-2024-01-CC-LLEI-D5D2NW-20240517173322

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 483010013
Report Date: 05/02/2024
Date Signed: 05/02/2024 11:44:22 AM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
02/20/2024 and conducted by Evaluator Elpidia Hernandez Torres

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20240220165256

FACILITY NAME:	LITTLE BLESSINGS DAYCARE-INFANT		FACILITY NUMBER:	483010013
ADMINISTRATOR:	BARRON BOTELLO, MARTHA		FACILITY TYPE:	830
ADDRESS:	717 KENTUCKY STREET		TELEPHONE:	(707) 720-9706
CITY:	FAIRFIELD	STATE: CA	ZIP CODE:	94533
CAPACITY:	7	CENSUS: 7	DATE:	05/02/2024
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Center Director Martha Barron Botello		TIME COMPLETED:	11:50 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff are operating beyond the terms and conditions of the license

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA), Elpidia Hernandez Torres, conducted a subsequent complaint investigation inspection on 05/02/2024 at 11:20AM for the purpose of delivering the findings regarding the above allegation. LPA previously met with the Cetner Director on 02/22/2024 to discuss the purpose of the visit and requested facility roster ( LIC 9040), Staff contact information, Sign in/out from 01/15/2024-02/16/2024 and children's enrollment agreements for children currently enrolled. Center Director emailed requested items on or before 02/29/2024. LPA was able to take copies of sign in/ out for children currently enrolled from 01/15-02/16. It was alleged that Staff are operating beyond the terms and conditions of the license.

During the course of the investigation, interviews were conducted with center director, two staff (S1, S2) and five guardians between 02/22- 04/29. On 02/22/2024 center director reported there are 8 children (C1-C8) enrolled in the day care, and C8 is their own child. Center director reported the license capacity is 7 children, and if there had ever been 8 children present is hasn’t been for more than one hour, and it may have happened two or three times.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE:	DATE: 05/02/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2024

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 3

Control Number 01-CC-20240220165256

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: LITTLE BLESSINGS DAYCARE-INFANT	FACILITY NUMBER: 483010013
	VISIT DATE: 05/02/2024

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

Staff corroborated the statement adding there have been days where 8 children have been present, and there are 8 children enrolled. Staff also reported there are times where C8 is present, and C8’s father has removed C8 from the day-care. All guardian interviews revealed they have never been present in the day care while there have been 8 children present. One guardian reported they may have seen 8 children present in a picture they received through the bright wheel app, but they couldn’t remember the date. Another guardian reported sometimes the class appears to be a little fuller but has not counted the number of children present.

LPA reviewed the sign in/out files from 01/15/2024- 02/16/2024, and identified more than two dates where 8 children were present at the same. LPA also reviewed pictures which had 8 infants present at the same time. The facility was licensed on 07/09/2021 with a max capacity of 7 infants. The facility is in violation of the approved fire clearance granted by Fairfield Fire department upon which the clearance is based. Therefore, the preponderance of evidence standard has been met and the above allegation is found to be substantiated. The California Code of Regulations, Title 22, Division 12 & Chapter 1, section 101171(a) is being cited on attached LIC 9099D. An immediate civil penalty in the amount of $500 is being issued. LPA Hernandez Torres informed center director to provide a copy of this licensing report dated 05/02/2024 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with center director. LPA Hernandez Torres informed center director that this report dated 05/02/2024 document(s) one Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Appeal rights were provided.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE:	DATE: 05/02/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 01-CC-20240220165256

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: LITTLE BLESSINGS DAYCARE-INFANT	FACILITY NUMBER: 483010013
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/02/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 05/03/2024 Section Cited CCR 101171(a)	1 2 3 4 5 6 7	Fire Clearance (a)All child care centers shall secure and maintain a fire clearance approved by the city or county fire department, the district providing fire protection services, or the State Fire Marshal. This was not met as evidence by. . .	1 2 3 4 5 6 7	Center director reported she will ensure no more than 7 infants will be present at one time. Center director reported her current plan is when the center is fully staff, C8 is not at the center. When the center is not full staffed C8 is with another provider.
	8 9 10 11 12 13 14	Based on sign in/out archives, and photo evidence between 01/15/24-02/16/24, there were 8 infants present on two or more dates. This poses an immediate health and safety risk to children in care.	8 9 10 11 12 13 14	Center director will email, mail or fax, LIC 9224, and proof of posting requirements to LPA Hernandez Torres on or before 05/06/2024.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE:	DATE: 05/02/2024

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2024

LIC9099 (FAS) - (06/04)

Page: 3 of 3