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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 490109272
Report Date: 09/21/2026
Date Signed: 09/21/2026 01:29:56 PM

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
07/08/2026 and conducted by Evaluator Robert Maciel
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20260708100118
FACILITY NAME:4CS PETALUMA CHILD DEVELOPMENT CENTERFACILITY NUMBER:
490109272
ADMINISTRATOR:ANDRADE, ROSEFACILITY TYPE:
850
ADDRESS:401 S MC DOWELLTELEPHONE:
(707) 544-3077
CITY:PETALUMASTATE: CAZIP CODE:
94952
CAPACITY:52CENSUS: 23DATE:
09/21/2026
UNANNOUNCEDTIME BEGAN:
01:01 PM
MET WITH:Rose AndradeTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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9
Daycare children are left unsupervised due to staff sleeping.
INVESTIGATION FINDINGS:
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An unannounced complaint inspection was conducted today by Licensing Program Analyst (LPA), Robert Maciel-Kahsima, who met with Director, Rose Andrade, to deliver the findings of the complaint investigation of the above allegation. It has been alleged that daycare children are left unsupervised due to staff sleeping.

During the course of the investigation, LPA obtained documents and interviewed staff between 7/14/26 and 9/21/26.

Director was interviewed on 7/14/26 who stated that she had not observed any staff sleeping during nap time and had never observed any instance where all staff weren't supervising children at one time due to either being asleep or distracted.
Continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Robert Maciel
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2026
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 2
Control Number 01-CC-20260708100118
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: 4CS PETALUMA CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 490109272
VISIT DATE: 09/21/2026
NARRATIVE
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Interviews with staff (S1-S8) indicated that there were staff who slept in the nap room during nap time while children were asleep, however, no staff interviewed stated that children were ever without supervision as a result of all staff in the nap room being asleep or distracted.

Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, and the findings are unsubstantiated. Appeal rights were provided and exit interview conducted. The Notice of Site Visit must be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Robert Maciel
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2