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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 483010705
Report Date: 11/04/2025
Date Signed: 11/04/2025 09:45:24 AM

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
08/19/2025 and conducted by Evaluator Sebastian Phouthavong
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20250819084334
FACILITY NAME:SMOTHERS, JANAE FCCHFACILITY NUMBER:
483010705
ADMINISTRATOR:SMOTHERS, JANAEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 908-6222
CITY:FAIRFIELDSTATE: CAZIP CODE:
94534
CAPACITY:14CENSUS: 9DATE:
11/04/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Janae SmothersTIME COMPLETED:
09:30 AM
ALLEGATION(S):
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Licensee handled day care child in a rough manner
Licensee did not prevent day care child from bullying another child resulting in injuries
INVESTIGATION FINDINGS:
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A subsequent complaint investigation visit was conducted today by Licensing Program Analyst(s) (LPAs), Sebastian Phouthavong & Selena Mariani who met with Facility Representative, Kajol Kumar for the purpose of delivering complaint investigation finding for the above allegations. LPA, Sebastian Phouthavong, previously conducted an inspection on 08/27/2025 to initiate the investigation and met with Licensee to discuss the allegations, conduct interview(s), make observations, and request documents. It is alleged that Licensee handled day care child in a rough manner, specifically that the Licensee poked a child on the face. Also its alleged that Licensee did not prevent day care child from bullying another child resulting in injuries.

During the course of the investigation, LPA conducted interviews with Licensee (LS), one Staff (S1), two children (C1 & C2) and three Adults (A2-A4) from 08/27/2025 to 11/03/2025. LPA also attempted an additional adult interview (A1) on 11/03/2025. LS denied the allegations. LS stated that she does not handle children in a rough manner and does not poke or pinch any children.
Continued on LIC 9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Melinda Mohr
LICENSING EVALUATOR NAME: Sebastian Phouthavong
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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Control Number 01-CC-20250819084334
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: SMOTHERS, JANAE FCCH
FACILITY NUMBER: 483010705
VISIT DATE: 11/04/2025
NARRATIVE
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Continued from LIC 9099.
LS further stated that the facility’s policy on discipline involves first providing a child with a warning if misbehaving, followed by a discussion regarding the behavior, including an explanation of why the behavior is unsafe, and resolving the issue. Interview from Staff (S1) stated when children are misbehaving, they are first given a warning and then spoken to about their behavior, collaborating with LS’ statement. S1 also stated that children are then advised to try again. Additionally, S1 stated that children would be separated to redirect the situation.

Furthermore, LS and S1 stated that there have not been any recent incidents of children bullying others that resulted in an injury. LS and S1 stated that if an injury were to occur, the child would be assessed, and the parents would be notified. LS did state that there was a past incident involving two former daycare children who were bullying each other.

From a child interview, (C1) stated that LS had previously poked them in the cheek. In addition, statement from adult (A4) claimed their child was previously hit by another child and was not notified of the incident. Interviewed conducted by Children (C1 - C2) and Adults (A2 – A4) did not have any current concerns with the allegations filed against the facility.

Based on the information gathered during this investigation, although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that the allegations occurred and therefore are determined to be unsubstantiated. There were no Title 22 deficiencies cited. This report was reviewed and discussed with Facility Representative, Kajol Kumar. Appeal rights were provided. Notice of Site Visit shall be posted for 30 days from today's visit.

SUPERVISORS NAME: Melinda Mohr
LICENSING EVALUATOR NAME: Sebastian Phouthavong
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2025
LIC9099 (FAS) - (06/04)
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