493009674-4-29-2026-01-CC-MAUN-DTWNTN-20260509104501

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 493009674
Report Date: 04/29/2026
Date Signed: 04/29/2026 11:15:26 AM

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
02/09/2026 and conducted by Evaluator Amy Strother

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20260209223122

FACILITY NAME:	MULDER, TONYA FCCH		FACILITY NUMBER:	493009674
ADMINISTRATOR:	MULDER, TONYA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(707) 857-6563
CITY:	CLOVERDALE	STATE: CA	ZIP CODE:	95425
CAPACITY:	14	CENSUS: 5	DATE:	04/29/2026
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Sierra Mulder and Tonya Mulder		TIME COMPLETED:	11:29 AM

ALLEGATION(S):

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Daycare child sustained fracture due to staff neglect or physical abuse

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Amy Strother made a subsequent complaint investigation inspection, for the purpose of delivering complaint findings, and met with assistant, Sierra Mulder and 45 minutes later met with Licensee, Tonya Mulder (L1) when she arrived back to the facility. It has been alleged that a daycare child sustained fracture due to staff neglect or physical abuse, specifically that child (C1) sustained a spiral femur fracture while in care. This complaint was assigned to the Department’s Investigations Branch (IB) as an assignment and returned to the Santa Rosa Regional Office (RO) for further investigation.

On 02/09/26 at approximately 12:50pm, an Unusual Incident Report (UIR) was received in the Regional Office from the facility informing Licensing of an incident involving C1, stating that on 02/09/26 at 9:20am the children were engaged in singing time when C1 jumped on one of the couch pillows on the ground and fell. The UIR states that L1 observed that C1 did not get up right away and was holding their leg saying “owe”. The UIR states they then notified C1’s parents of the incident.

Continue on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Amy Strother
LICENSING EVALUATOR SIGNATURE:	DATE: 04/29/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2026

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-20260209223122

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: MULDER, TONYA FCCH	FACILITY NUMBER: 493009674
	VISIT DATE: 04/29/2026

NARRATIVE

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LPA Strother called and spoke to L1 on 02/09/26 after receiving the UIR to follow up and potentially obtain additional details about the incident. L1 stated that at the time of the incident there were two other children in care, and all three children were singing and jumping from couch pillow to couch pillow lined up on the area rug on the hardwood floor in the living room. L1 stated during the call that child C1 fell to the floor and cried out. L1 then called C1’s parent, A2, who then called C1’s parent A3 who arrived to pick C1 up and take C1 to receive medical attention. L1 stated that although the couch pillows had been used in this way many times, she will now leave them on the couch and not have them used for play. L1 stated that there were no toys on the floor in the area where the couch pillows were at the time of the incident.

On 02/12/26 LPA Strother conducted an initial complaint investigation inspection, informing L1 that the complaint had been referred to the Investigations Branch. Details of the allegation were not presented or discussed with the Licensee during the 02/12/26 inspection. During the 02/12/26 inspection, a roster of children currently enrolled was requested and obtained, and the facility sketch reviewed and verified.

During the complaint investigation, IB investigator conducted a parent interview with Adult (A2) on 02/26/26. The IB assignment was not upgraded due to there being no basis to support the allegation. LPA received a copy of IB’s completed investigative report on 03/09/26. A review of the IB report indicates that A2 stated the incident was a “terrible accident.” A2 told IB investigator that C1 had never been injured at the facility before, did not believe C1’s injury was a result of physical abuse or neglect or lack of care and that A2 felt that C1 is safe at the facility.

Based on IB’s interview with A2, C1 was dropped off for care on 02/09/26 at 8:00am and at 9:15am, A2 received a call from L1 stating that C1 injured their leg and was in visible pain and needed to be picked up. A2 reported that they then called adult A3 to pick up C1. A3 picked up C1 from the facility and took C1 to seek medical attention.

LPA conducted interviews with two parents/adults (A2 & A3) on 04/15/26. A2 and A3 made corroborating statements during their separate interviews. Both A2 and A3 stated that they do not have any concerns for C1’s safety at the facility. LPA confirmed with A2 and A3 that C1 has returned to care since the incident. A3 stated that C1 is happy to go to care, displayed by running to the door of L1’s home at arrival. A2 and A3 were uncertain of the specific details of the incident.
Continue on LIC9099-C

SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Amy Strother
LICENSING EVALUATOR SIGNATURE:	DATE: 04/29/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 01-CC-20260209223122

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: MULDER, TONYA FCCH	FACILITY NUMBER: 493009674
	VISIT DATE: 04/29/2026

NARRATIVE

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A2 and A3 stated that they didn’t know if C1 jumped from the couch onto a floor or from cushion to cushion, but both believed that it was the result of an accident and not caused by neglect or physical abuse. A3 stated that they did not believe that the incident could have been prevented, stating that C1 is a very rough child and that it’s something that could have happened at C1’s own home.

During today’s visit, Licensee (L1) and Assistant (S1) denied the allegation. L1 stated that all of the children in care are well taken care of and no adult at the facility has ever physically harmed a child. L1 stated that on the day of the incident she was in the kitchen and her assistant (S1) was in the living room singing with the children. S1 also stated that she was in the living room when the incident occurred. S1 stated that child C1 was jumping from throw pillow to throw pillow on the living room floor. S1 heard child C1 fall to the ground, one leg out in front of them and the other bent at the knee and could not come to a stand, when asked to do so. L1 stated that when she came to the living room C1 was about 6 feet in front of the front door near pillows on the ground. S1 notified C1's parent right away. Both L1 and S1 stated that the throw pillows have been put away and are no longer used during day care hours. L1 stated that the incident could not have been prevented, unless maybe they weren’t using the pillows in play.

Although child C1 did sustain a serious injury while in care, based on available information, there is insufficient evidence to support the allegation.
Based on interviews conducted, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that an alleged violation occurred, therefore the allegation is UNSUBSTANTIATED.

There were no Title 22 deficiencies cited during today's inspection.

This report was reviewed and discussed with Licensee, Tonya Mulder. Appeal Rights were provided.

A notice of site visit was given to licensee and must remain posted for 30 days.

SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Amy Strother
LICENSING EVALUATOR SIGNATURE:	DATE: 04/29/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2026

LIC9099 (FAS) - (06/04)

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