483010826-8-13-2026-01-CC-MMOR-DX2SSV-20260817140834

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 483010826
Report Date: 08/13/2026
Date Signed: 08/13/2026 11:09:59 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
05/21/2026 and conducted by Evaluator Dianne Allee

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20260521120442

FACILITY NAME:	WILLIAMS, SYMONE FCCH		FACILITY NUMBER:	483010826
ADMINISTRATOR:	SYMONE WILLIAMS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(707) 606-8980
CITY:	VALLEJO	STATE: CA	ZIP CODE:	94589
CAPACITY:	14	CENSUS: 2	DATE:	08/13/2026
		UNANNOUNCED	TIME BEGAN:	09:54 AM
MET WITH:	Symone Williams		TIME COMPLETED:	11:24 AM

ALLEGATION(S):

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Provider locked daycare child in a room.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Dianne Allee made an unannounced complaint investigation visit today and met with Licensee Symone Williams for the purpose of delivering findings for the above allegations. LPA Dianne Allee previously met with Licensee Symone Williams on 05/26/2026 to open the complaint. A subsequent visit was made on 06/03/2026 to further investigate the complaint.
During the course of the investigation, LPA Allee conducted interviews, made observations, and received documents pertaining to the investigation. From 05/26/2026 through 08/06/2026, interviews were conducted with Licensee (LS), staff (S1), and three parents (P1, P2 & P3). Children and parent interviews were attempted.
Licensee, Symone Williams denies the allegation of locking a child in a room on accident or on purpose. Licensee stated that for discipline, her and her staff use time outs. Licensee further stated that for a time-out the child would be placed up against a wall and a timer would be set for 1 minute per year of age of the child. Licensee stated if a child continues to act up she will have the child picked up from care. During the interview, Licensee further stated if she is ever overwhelmed or frustrated, S1, her assistant will step in and help with the child.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Melinda Mohr
LICENSING EVALUATOR NAME: Dianne Allee
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2026

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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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
05/21/2026 and conducted by Evaluator Dianne Allee

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20260521120442

FACILITY NAME:	WILLIAMS, SYMONE FCCH		FACILITY NUMBER:	483010826
ADMINISTRATOR:	SYMONE WILLIAMS		FACILITY TYPE:	810
ADDRESS:	560 ECHO SUMMIT ROAD		TELEPHONE:	(707) 606-8980
CITY:	VALLEJO	STATE:CA	ZIP CODE:	94589
CAPACITY:	14	CENSUS: 2	DATE:	08/13/2026
		UNANNOUNCED	TIME BEGAN:	09:54 AM
MET WITH:	Symone Williams		TIME COMPLETED:	11:24 AM

ALLEGATION(S):

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Provider hit daycare child

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Dianne Allee made an unannounced complaint investigation visit today and met with Licensee Symone Williams for the purpose of delivering findings for the above allegations. LPA Dianne Allee previously met with Licensee Symone Williams on 05/26/2026 to open the complaint. A subsequent visit was made on 06/03/2026 to further investigate the complaint.
During the course of the investigation, LPA Allee conducted interviews, made observations, and received documents pertaining to the investigation. From 05/26/2026 through 08/06/2026, interviews were conducted with Licensee (LS), staff (S1), and three parents (P1, P2 & P3). Children and parent interviews were attempted.
Furthermore, Licensee stated that she will sometimes “swat” a child’s hand if they are attempting to touch something they are not supposed to touch or if they are making loud noises with their hands. Licensee stated when it has happened, she is transparent with the children’s parents and has let them know.
Based on the investigation, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be substantiated. The following violations of the Health and Safety Code section 1596.895; see LIC 9099D. Appeal rights were provided.
Exit interview was conducted, and report reviewed with Licensee, Symone Williams.
Notice of Site Visit shall be posted for 30 days from today's visit. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Melinda Mohr
LICENSING EVALUATOR NAME: Dianne Allee
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 01-CC-20260521120442

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: WILLIAMS, SYMONE FCCH	FACILITY NUMBER: 483010826
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/13/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/27/2026 Section Cited CCR 101223(a)(3)	1 2 3 4 5 6 7	(a) The licensee shall ensure that each child is accorded the following personal rights:... (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. This requirement is not met by:	1 2 3 4 5 6 7	Licensee states she has already begun educating themselves on learning alternatives to this. Licensee stated she will watch the following video: https://ccld.childcarevideos.org/family-child-care-providers/childrens-personal-rights-in-child-care/ Once the video has been watched please answer the following questions:
	8 9 10 11 12 13 14	Based on interview the licensee did not comply with the section cited above. Licensee admitted to swatting a childs hand, which poses a threat to the child's health, safety, or personal rights risk to persons in care.	8 9 10 11 12 13 14	1. What are children's personal rights in child care? 2. What if a parent or family member requests actions that conflict with children's rights? 3. How does this video pertain to this incident?
	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.

SUPERVISOR'S NAME: Melinda Mohr
LICENSING EVALUATOR NAME: Dianne Allee
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2026

LIC9099 (FAS) - (06/04)

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Control Number 01-CC-20260521120442

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: WILLIAMS, SYMONE FCCH	FACILITY NUMBER: 483010826
	VISIT DATE: 08/13/2026

NARRATIVE

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During an interview with the Assistant (S1), S1 stated they have never observed or participated in yelling, hitting a child in any way, or locking them in an off-limits room. When asked about how the facility handles discipline, S1 stated they utilize time-outs and verbal discussions on what occurred. In addition, S1 stated when children are in a time-out the children will sit or stand against a wall. If they continue to have behavior issues, they will contact parents for their guidance or to pick up the child.
Parent interviews (P2 & P3) stated that they have never observed or heard of Licensee hitting a child or locking them in a room. P2 stated their child is always happy to be at the licensee’s home. P3 shared that they are aware Licensee uses time-outs for discipline and has always communicated well with them concerning their children. P3 further shared that they feel their children are safe when in the care of licensee.
Based on the information gathered during this investigation, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegation occurred and therefore is determined to be unsubstantiated. There were no Title 22 deficiencies cited. This report was reviewed and discussed with the Licensee, Symone Williams. Appeal rights were provided. Notice of Site Visit shall be posted for 30 days from today's visit. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Melinda Mohr
LICENSING EVALUATOR NAME: Dianne Allee
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2026

LIC9099 (FAS) - (06/04)

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