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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 493010364
Report Date: 08/06/2024
Date Signed: 08/06/2024 02:27:57 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA 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
05/16/2024 and conducted by Evaluator Sebastian Phouthavong
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20240516121730
FACILITY NAME:LITTLE MONARCHS PRESCHOOLFACILITY NUMBER:
493010364
ADMINISTRATOR:ZOE TEETERFACILITY TYPE:
850
ADDRESS:3267 AIRWAY DRIVETELEPHONE:
(707) 479-5577
CITY:SANTA ROSASTATE: CAZIP CODE:
95403
CAPACITY:57CENSUS: 51DATE:
08/06/2024
UNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Staff, Savannah MederosTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff spoke inappropriately in the presence of children
INVESTIGATION FINDINGS:
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A subsequent complaint investigation visit was conducted today by Licensing Program Analyst (LPA), Sebastian Phouthavong who met with Program Coordinator, Savannah Mederos for the purpose of delivering complaint investigation findings for the above allegation. LPA previously conducted an inspection on 05/21/2024 to initiate the investigation and met with Licensee to discuss the allegations, conduct interview(s), make observations, and request documents. It is alleged that staff spoke inappropriately in the presence of children specifically staff had a verbal altercation in the presence of daycare children.

During the course of the investigation, LPA conducted interviews with the Licensee (LS), 11 Staff (S1 – S11) and 4 children (C2-C5) from 05/21/2024 to 08/05/2024. LS confirmed that a verbal altercation between two staff did occur in the presence of daycare children. In addition, Interviews from all staff acknowledged that the altercation occurred corroborating with LS’s statement. While on the playground, the two staff confronted each other concerning a personal matter which resulted in them yelling at each other and making inappropriate comments while children were present. Interviews conducted by children (C2-C5) did not have any concerns with the allegations filed against the facility.
(Continued on LIC 9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Sebastian Phouthavong
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2024
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 5
Control Number 01-CC-20240516121730
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: LITTLE MONARCHS PRESCHOOL
FACILITY NUMBER: 493010364
VISIT DATE: 08/06/2024
NARRATIVE
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(Continued from LIC 9099)
Based on the information gathered during this investigation, the preponderance of the evidence standard has been met. Therefore, the allegation is determined to be substantiated. California Code of Regulations, Title 22, is being cited on the attached LIC 9099-D. Appeal rights were provided. An exit interview was conducted, and this report was read and discussed with the facility’s Program Coordinator, Savannah Mederos. The Notice of Site Visit shall be posted for 30 days.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Sebastian Phouthavong
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 01-CC-20240516121730
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: LITTLE MONARCHS PRESCHOOL
FACILITY NUMBER: 493010364
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/06/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/27/2024
Section Cited
CCR
101223(a)(1)
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101223(a)(1) Personal Rights:
(a) The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her personal relationships with staff and other persons. This requirement is not met as evidenced by:
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Staff stated the facility will have all staff conduct an online training by video and submit proof of completion with staff’s signature and date to LPA by 08/27/2024.
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Based on interview with staff, two staff confronted each other which resulted in them yelling at each other and making inappropriate comments while children were present which poses a potential health, safety or personal rights risk to persons 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.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Sebastian Phouthavong
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 5