490107330-4-25-2024-01-CC-AHON-D4PLUY-20240426090439

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 490107330
Report Date: 04/25/2024
Date Signed: 04/25/2024 10:49:51 AM

Substantiated

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
02/28/2024 and conducted by Evaluator Amy Strother

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20240228105941

FACILITY NAME:	CHILDKIND PRESCHOOL		FACILITY NUMBER:	490107330
ADMINISTRATOR:	MC INTYRE, AMY		FACILITY TYPE:	850
ADDRESS:	2200 LAGUNA ROAD		TELEPHONE:	(707) 823-6993
CITY:	SANTA ROSA	STATE: CA	ZIP CODE:	95401
CAPACITY:	24	CENSUS: 23	DATE:	04/25/2024
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Amy McIntyre		TIME COMPLETED:	11:05 AM

ALLEGATION(S):

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Staff handled daycare child in a rough manner

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Amy Strother made a subsequent complaint investigation inspection for the purpose of delivering the findings, and met with Licensee/Center Director, Amy McIntyre (L1). It has been alleged that staff handled daycare child in a rough manner, specifically that a child (C1) was pushed by staff (L1).

During the initial investigation inspection on 03/07/24 LPA Strother toured the facility, made observations, received documents and interviewed L1 and one staff, Staff 1 (S1) beginning at 11:06am. L1 admitted to the allegation, stating that she did push C1, one time, but was not able to provide the date that the incident occurred. L1 stated that she pushed C1 to keep them from hurting another child, and used the words, “This is how that feels.”, after pushing C1. L1 shared that she did inform C1’s parents of the incident and apologized, letting them know that I did have to push their child. L1 reported that C1’s parents said that they understood about the way I pushed him away, they said that they have had to do it too.
Continue on LIC9099-C

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Alexis Hollon	TELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Amy Strother	TELEPHONE: (707) 588-5077
LICENSING EVALUATOR SIGNATURE:	DATE: 04/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2024

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-20240228105941

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: CHILDKIND PRESCHOOL	FACILITY NUMBER: 490107330
	VISIT DATE: 04/25/2024

NARRATIVE

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L1 added that pushing C1 only happened one time, but blocking C1 by putting her hands out in front of her body, or forcibly removing C1 from another child happened many times. L1 stated that she, with the parents permission, brought in an outside resource to get support with C1’s behavior. Staff, S1 was able to corroborate that they did witness C1 fall to the floor, after running into L1’s hands, but was not able to confirm that C1 fell due to L1 pushing C1, stating that it was unclear if it was due to C1’s body hitting L1’s hands with such force that it caused C1 to fall back. S1 confirmed that L1 was transparent with C1’s parents and told them what happened.

During the investigation, LPA Strother interviewed Adult 1 (A1) on 03/06/24, Adult 2 (A2) on 03/05/24 and Adult 3 (A3) on 04/22/24. One adult interviewed corroborated the incident involving L1 pushing C1, stating they had knowledge of what they believed to be an isolated incident. The other adults interviewed had either no additional incidents to report of handling a child in a rough manner or were unaware that any incident of handling a child in a rough manner had ever occurred, stating that the staff at Childkind are wonderfully supportive, working with children that have challenging behaviors.

Based on interview with the Licensee (L1), the preponderance of evidence standard has been met; therefore, the above allegation is found to be substantiated. California Code of Regulations, (Title 22), is being cited on the attached LIC 9099D. Appeal rights were provided.

Exit interview conducted, and report was reviewed with the Licensee/Center Director, Amy McIntyre.

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.

SUPERVISOR'S NAME: Alexis Hollon	TELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Amy Strother	TELEPHONE: (707) 588-5077
LICENSING EVALUATOR SIGNATURE:	DATE: 04/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2024

LIC9099 (FAS) - (06/04)

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Control Number 01-CC-20240228105941

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: CHILDKIND PRESCHOOL	FACILITY NUMBER: 490107330
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/25/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 05/03/2024 Section Cited CCR 101223(a)(3)	1 2 3 4 5 6 7	101223 Personal Rights(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 was not met as evidenced by:	1 2 3 4 5 6 7	L1 stated she will create a written protocol for how staff are to handle children that are presenting physically challenging behavior and conduct staff training. L1 will submit protocol to LPA Strother by 05/03/24.
	8 9 10 11 12 13 14	Based on interview with L1, L1 admitted to pushing C1 in an isolated incident, as a method of handling C1’s undesired behavior, which posed a potential health, safety or personal rights risk to persons in care.	8 9 10 11 12 13 14
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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: Alexis Hollon	TELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Amy Strother	TELEPHONE: (707) 588-5077
LICENSING EVALUATOR SIGNATURE:	DATE: 04/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2024

LIC9099 (FAS) - (06/04)

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