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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 493010001
Report Date: 08/24/2022
Date Signed: 08/29/2022 10:30:08 AM

Unsubstantiated


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
06/03/2022 and conducted by Evaluator Amy Strother
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20220603095414
FACILITY NAME:LINO-MARTINEZ, MARGARET FCCHFACILITY NUMBER:
493010001
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 3DATE:
08/24/2022
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH::Margaret "Victoria" Lino-MartinezTIME COMPLETED:
10:29 PM
ALLEGATION(S):
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Day care provider inappropriately handled day care child

Day care children sustained injuries while in care
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 the Licensee. It has been alleged that day care children sustained injuries while in care, specifically that C1 had scratches on their neck and cheek and C2 had a bump on their forehead when picked up from care. It has also been alleged that a day care provider inappropriately handled a day care child, specifically that the Licensee picked up C1 by the arm to hand C1 to C1’s authorized representative at the doorway during pick up time.

During the investigation, records were reviewed, and interviews were conducted. An interview was conducted with the Licensee on 06/09/22 at 12:30pm. No interviews with children were conducted. LPA was unable to qualify any children as witnesses during the investigation. LPA conducted interviews with 4 adults, A1 – A4 between 06/08/22 and 08/22/22.

Continue on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Amy Strother
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2022
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-20220603095414
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: LINO-MARTINEZ, MARGARET FCCH
FACILITY NUMBER: 493010001
VISIT DATE: 08/24/2022
NARRATIVE
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Interviews and a review of records corroborate that children C1 and C2 did sustain minor injuries to the face and head while in care, and that although a staff person was standing close by when the incident occurred, they could not feasibly have prevented C1's or C2’s injuries. Interviews additionally corroborate that the children, C1 and C2 were located in a play area that has toys for infants and preschool children when the incident occurred, and the injuries sustained were caused by a toy while playing independently or by another child of similar age, playing nearby. It was corroborated through interview that C1 and C2’s authorized representatives were notified of the injuries on the day that they occurred. Although interviews and record review corroborate that C1 and C2 were injured while in care, based on information gathered during interviews, there is not a preponderance of evidence to support the injury occurred due to a of lack of supervision or because of a violation of personal rights. Interviews conducted did not corroborate that the Licensee has handled a day care child inappropriately. Based on interviews with adult witnesses and LPA observations of the Licensees interactions with children, the License on more than one occasion has been witnessed moving toddlers from one place to another by holding the child under their armpit.
Based on interviews conducted and records reviewed, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that an alleged violation occurred, therefore the allegations are UNSUBSTANTIATED.

There were no Title 22 deficiencies cited during today's complaint inspection. This report was reviewed and discussed with the Licensee. Appeal Rights were provided.
Notice of Site Visit shall be posted for 30 days from today's visit.
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Amy Strother
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2022
LIC9099 (FAS) - (06/04)
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