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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 490102646
Report Date: 02/18/2022
Date Signed: 02/18/2022 01:45:31 PM

Unsubstantiated


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
11/08/2021 and conducted by Evaluator Jennifer Velasco
COMPLAINT CONTROL NUMBER: 01-CC-20211108104308
FACILITY NAME:BETH AMI COMMUNITY NURSERY SCHOOLFACILITY NUMBER:
490102646
ADMINISTRATOR:LOWELL, PRISCILLAFACILITY TYPE:
850
ADDRESS:4676 MAYETTE AVENUETELEPHONE:
(707) 360-3030
CITY:SANTA ROSASTATE: CAZIP CODE:
95405
CAPACITY:75CENSUS: 0DATE:
02/18/2022
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Sarah WeltonTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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9
Facility license is not posted for public viewing
Day care children sustained injuries while in care
INVESTIGATION FINDINGS:
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A subsequent complaint investigation inspection was conducted by Licensing Program Analyst Jennifer Velasco (LPA), who met with Staff Sarah Welton (S5). It has been alleged the license is not posted; specifically, staff has not posted the facility license for viewing by parents. It has been further alleged children have sustained injuries in care; specifically, multiple children have sustained minor injuries on the playground due to inadequate staffing. S5 stated the facility license has always been posted in the central hallway and that parents have regular access to that central hallway. S5 also stated while some children have sustained minor injuries while in care, those injuries have been minor and sustained in the normal course of play. During the investigation, LPA toured the facility, conducted witness interviews, and requested pertinent documents and materials. Witness statements, documentation, and observation failed to corroborate the allegations that the facility failed to posted the license publicly and that children sustained injuries outside the norm while in care. Based on interviews and facility documents, the preponderance of evidence standard has not been met; therefore, the above allegations are found to be UNSUBSTANTIATED. This report was reviewed and discussed with S5. Appeal Rights were provided, and exit interview was conducted. All licensing reports are public information and must be made available upon request for at least three years. S5 was provided with a Notice of Site Visit (NOS) to be posted in the facility for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Jennifer Velasco
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2022
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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