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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 493007940
Report Date: 02/11/2025
Date Signed: 02/11/2025 02:21:03 PM

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
12/19/2024 and conducted by Evaluator Yang Yang
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20241219091511
FACILITY NAME:LITTLE SCHOOL HOUSE INC.FACILITY NUMBER:
493007940
ADMINISTRATOR:DURELLE FINSTERFACILITY TYPE:
850
ADDRESS:270 MARK WEST STATION ROADTELEPHONE:
(707) 527-8118
CITY:WINDSORSTATE: CAZIP CODE:
95492
CAPACITY:53CENSUS: 34DATE:
02/11/2025
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Lisa Steindorf, Center DirectorTIME COMPLETED:
11:11 AM
ALLEGATION(S):
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Staff are not adequately supervising day care children
INVESTIGATION FINDINGS:
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A follow-up complaint investigation visit was made today by Licensing Program Analyst (LPA), Y. Yang to deliver complaint investigation findings. Previously, investigation visits were made to the facility by the LPA on 12/20/24 and 01/08/25 to interview staff and make observations inside the center. It has been alleged that staff are not adequately supervising day care children. Specifically, it has been alleged that on an undisclosed date, three preschool children wandered from the preschool yard to the center’s toddler yard and were without staff supervision for approximately thirty minutes.

During the initial investigation visit to the facility on 12/20/24, the LPA met with the center director, Lisa Steindorf (staff S1) to discuss the allegation. The director stated that she acknowledges that there was an incident that occurred at the facility on 12/03/24 in which child C1, C2, and C3 were without staff supervision while in the facility’s fully fenced toddler play yard. The director stated that the exact length of time the children were unaccounted for is unknown to her. The director stated that she was not on site at the time. The director stated that the facility’s maintenance person was on site a few days prior to this incident and did not latch the wooden gate that separates the preschool play yard from the adjacent infant and toddler play yards. The LPA observed that the play yards are separated by a solid, wood plank fence approximately five feet in height. (Continued on LIC9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) -89-5033
LICENSING EVALUATOR NAME: Yang YangTELEPHONE: 707-588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2025
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 4
Control Number 01-CC-20241219091511
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: LITTLE SCHOOL HOUSE INC.
FACILITY NUMBER: 493007940
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/11/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/12/2025
Section Cited
CCR
101229(a)(1)
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Responsibility for Providing Care and Supervision. (a) The licensee shall provide care and supervision as necessary to meet the children's needs.(1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement was not met as evidenced by:
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The center director stated that a staff training event was held at the center on 12/28/24 to cover the facilities care and supervision policies and provide training on active supervision. The director shall submit a copy of the meeting agenda along with the staff sign in sheet to the LPA by 02/12/25.
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Based on staff interviews conducted on 12/20/24 and 01/08/25 and the center director's own admission, it was corroborated that child C1-C3 were without staff supervision and visual observation for a period of time while in the center's outdoor play area. This posed a potential health and safety risk to the children in care.
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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: Megan AvilesTELEPHONE: (530) -89-5033
LICENSING EVALUATOR NAME: Yang YangTELEPHONE: 707-588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 01-CC-20241219091511
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: LITTLE SCHOOL HOUSE INC.
FACILITY NUMBER: 493007940
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/11/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/12/2025
Section Cited
CCR
101212(d)(1)(C)
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Reporting Requirements. (d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. (1) Events reported shall include the following: (C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child. This requirement was not met as evidenced by:
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A written Unusual Incident Report (UIR) was submitted by the facility on 12/21/24. This deficiency has been cleared.
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Based on an interview with the center director on 12/20/24, the center director acknowledged that the facility failed to report this incident, which occurred on 12/03/24, to Community Care Licensing as required per regulations. This posed a potential health and safety risk to the children in care.
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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: Megan AvilesTELEPHONE: (530) -89-5033
LICENSING EVALUATOR NAME: Yang YangTELEPHONE: 707-588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 01-CC-20241219091511
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: LITTLE SCHOOL HOUSE INC.
FACILITY NUMBER: 493007940
VISIT DATE: 02/11/2025
NARRATIVE
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The director stated that she believes that during scheduled outdoor play time, one of the three children observed that the gate was ajar and made their way to the adjacent play yards with the two other children without staff’s knowledge. The director stated that both play yards are fully fenced and do not have access to the public street.

During the investigation, the LPA interviewed staff members S2-S4 on 12/20/24 and 01/08/25 to obtain additional information. Staff S2-S4 were on the playground supervising approximately 24 children from two classrooms at the time of the incident. Based on interviews, staff members estimated that C1-C3 were without staff supervision between five to fifteen minutes. Child C1-C3’s primary teacher, S3 stated that she realized C1-C3 were missing after lining up the children from her class and performing a head count to transition inside. Staff S3 stated that she believed that the three children entered the building without her knowledge and returned to their classroom. Staff S3 stated that when she returned to her classroom with the other children, she observed that C1-C3 were not in the classroom. Staff S3 stated that she then notified other staff members, who assisted in searching for the three children. Staff S3 stated that C1-C3 were located on the toddler play yard “within minutes.” Staff S3 stated that the three children were not in distress or upset when found.

The director stated that this incident was reported to the authorized representatives of the children involved. This incident was not reported to Community Care Licensing as required per regulations. An Unusual Incident Report (UIR) was submitted on 12/21/24 by the center after the LPA’s initial complaint investigation visit. Additionally, the director stated that C1-C3’s primary teacher, S3 was issued a written warning on 12/06/24 and an all-staff training event was held on 12/28/24 to discuss the facility’s care and supervision policies and the subject of active supervision. The director stated that she takes full responsibility for this incident occurring and for failing to report this incident to the Licensing agency.

Based on information obtained from interviews during the investigation, 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. An exit interview was conducted, and this report was read and discussed with the center director, Lisa Steindorf. Appeal rights were provided. The Notice of Site Visit shall be posted for 30 days.

Reports citing Type A violations are to be provided to parents/guardians of children currently enrolled by the next business day or the next day the children are in care, and to parents/guardians of children newly enrolled at the facility for the next 12 months from the date of this report. Parents/guardians must sign form LIC 9224 to be kept in each child's file.

SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) -89-5033
LICENSING EVALUATOR NAME: Yang YangTELEPHONE: 707-588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4