493006190-7-30-2024-01-CC-LLEI-D8Z5TK-20240910201429

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 493006190
Report Date: 07/30/2024
Date Signed: 07/30/2024 11:35:57 AM

Substantiated

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
06/12/2024 and conducted by Evaluator Glenn Ouye

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20240612100110

FACILITY NAME:	4CS WINDSOR STATE PRESCHOOL		FACILITY NUMBER:	493006190
ADMINISTRATOR:	MICHELLE MARTIN		FACILITY TYPE:	850
ADDRESS:	79 PLEASANT AVENUE		TELEPHONE:	(707) 836-7068
CITY:	SANTA ROSA	STATE: CA	ZIP CODE:	95403
CAPACITY:	40	CENSUS: 19	DATE:	07/30/2024
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Michelle Martin		TIME COMPLETED:	11:45 AM

ALLEGATION(S):

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Staff speak inappropriately to children

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Glenn Ouye met with Site Supervisor, Michelle Martin.
LPA Ouye interviewed staff S1, S2 on July 10, 2024 and staff S3 on July 16, 2024 and S5 on July 30, 2024. Staff S1,S2 and S3 stated that staff S4 yelled at other staff in the presence of children on multiple occasions. Specifically, S4 screamed at S2 about the timing of children brushing teeth in front of children. S4 also yelled at S1 in front of children which was witnessed by S1 and S3 about the timing of taking a break. Staff S1, S2 and S3 all felt that S4 was trying to assert herself over the other teachers and felt that S4 thought the class should be run differently. The staff stated that they utilize iPads for the DRDP assessment tool to document the effectiveness and success of curriculum for the children. The data is given to the State of California as required for the programs state funding.

Based on the evidence obtained, 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 9099-D.

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.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Leslie Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Glenn Ouye	TELEPHONE: (707) 588-5042
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2024

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-20240612100110

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: 4CS WINDSOR STATE PRESCHOOL	FACILITY NUMBER: 493006190
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/30/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 07/31/2024 Section Cited CCR 101223(a)(2)	1 2 3 4 5 6 7	Personal Rights - The licensee shall ensure that each child is accorded the following personal rights. To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by staff: S1, S2, S3 interviews that they witnessed S4 yelling at other	1 2 3 4 5 6 7	A training consultant has been contracted to provide training for the class tool which is a new training for the DRDP assessment program. This will provide trainings topics that will cover personal rights for children.
	8 9 10 11 12 13 14	staff in front of children in the program. This poses a violation of a child's personal rights	8 9 10 11 12 13 14	The deficiency will be cleared today July 30 2024.
	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: Leslie Lepori	TELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Glenn Ouye	TELEPHONE: (707) 588-5042
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2024

LIC9099 (FAS) - (06/04)

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