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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 493010486
Report Date: 01/27/2025
Date Signed: 01/27/2025 04:46:51 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
10/31/2024 and conducted by Evaluator Sebastian Phouthavong
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20241031092858
FACILITY NAME:LITTLE MONARCHSFACILITY NUMBER:
493010486
ADMINISTRATOR:DANA POWELLFACILITY TYPE:
860
ADDRESS:3273 AIRWAY DRIVE SUITE ETELEPHONE:
(707) 479-5577
CITY:SANTA ROSASTATE: CAZIP CODE:
95403
CAPACITY:48CENSUS: 29DATE:
01/27/2025
UNANNOUNCEDTIME BEGAN:
10:01 AM
MET WITH:Zoe TeeterTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Staff do not ensure safe sleep practices are followed for infants in care
Staff allow infants to be propped up on pillows during bottle feedings
INVESTIGATION FINDINGS:
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A subsequent complaint investigation visit was conducted today by Licensing Program Analysts (LPA(s), S. Phouthavong and M. Mohr who met with Licensee, Zoe teeter and Director, Dana Powell for the purpose of delivering complaint investigation findings for the above allegations. LPA previously conducted an inspection on 11/06/2024 to initiate the investigation and met with Licensee to discuss the allegations, conduct interview(s), make observations, and request documents. It is alleged staff do not ensure safe sleep practices are followed for infants in care. Also, it’s alleged that staff allow infants to be propped up on pillows during bottle feedings, specifically infants were propped up on a pillow with a bottle in place of a staff feeding the child.

During the course of the investigation, LPA conducted interviews with the Licensee (LS), Director (D1) and four Staff (S1 – S4) on 11/06/2024. LS, Director and S1 admitted the facility allowed infants under 1 year old to sleep on cots/mats.
(Continued on LIC 9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Sebastian Phouthavong
LICENSING EVALUATOR SIGNATURE:

DATE: 01/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2025
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 5
Control Number 01-CC-20241031092858
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
FACILITY NUMBER: 493010486
VISIT DATE: 01/27/2025
NARRATIVE
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(Continued from LIC 9099)
D1 further stated they misunderstood the requirements and thought if an infant pull themselves up with a supportive object, then they could climb out of a crib. S3 also stated they misunderstood the requirements and thought if children had enough strength to roll their whole bodies while napping, they were allowed nap on a cot/mat.

LS, D1 and staff (S3 & S4) admitted that boppy pillows were used to assist staff to prop up infants when feeding milk bottles to them. LS and S4 further stated some staff used boppy pillow so they would not need to hold children in their arms. LS stated the facility has addressed the issues.

Additionally, from LPA(s), M. Mohr and S. Phouthavong’s observations on 10/21/2024, a 7 month old infant, who did not have the ability to stand upright on their own and climb out of a crib, was observed napping on a cot/mat in the nap room. Furthermore, no cribs were observed with LS stating that the cribs were stored away. According to California Code of Regulations 101439.1 Infant Care Center Sleeping Equipment, A crib or portable-crib meeting United States Consumer Product Safety Commission safety standards shall be provided for each infant who is unable to climb out of a crib. LPAs also observed an infant sliding off a bobby pillow on the floor without assistants from a staff member.

Based on the information gathered during this investigation, the preponderance of the evidence standard has been met. Therefore, the allegations are 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 Licensee, Zoe Teeter. The Notice of Site Visit shall be posted for 30 days.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Sebastian Phouthavong
LICENSING EVALUATOR SIGNATURE:

DATE: 01/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 01-CC-20241031092858
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
FACILITY NUMBER: 493010486
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/27/2025
Section Cited
CCR
101439.1(b)
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(b) A crib or portable-crib meeting United States Consumer Product Safety Commission safety standards shall be provided for each infant who is unable to climb out of a crib. This requirement is not met as evidenced by:
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The facility has changed the nap room to including cribs and changed the facility’s policy on infant safe sleep. POC was cleared during today’s visit 01/27/2025.
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Based on interviews with LS, D1 & S1 admitted the facility allowed infants under 1 year old to sleep on cots/mats. Also LPAs observed an infant on a cot/mat which poses a potential health, safety, or personal rights risk to persons in care.
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Type B
02/10/2025
Section Cited
CCR
101427(h)
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101427 Infant Care Food Service: (h) Infants who are unable to hold a bottle shall be held by a staff person or other adult for bottle feeding. At no time shall a bottle be propped for an infant. An infant shall not be allowed to carry a bottle while ambulatory. This requirement is not met as evidenced by:
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Licensee stated she will submit doumenation on the facility's policy on boppy pillows with LS siguature. The doumenation will be submitted to LPA by 02/10/2025.
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Based on interviews with LS and D1 amitted staff use boppy pillows to assist staff to prop up infants when feeding milk bottles to them, 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: 01/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
10/31/2024 and conducted by Evaluator Sebastian Phouthavong
COMPLAINT CONTROL NUMBER: 01-CC-20241031092858

FACILITY NAME:LITTLE MONARCHSFACILITY NUMBER:
493010486
ADMINISTRATOR:DANA POWELLFACILITY TYPE:
860
ADDRESS:3273 AIRWAY DRIVE SUITE ETELEPHONE:
(707) 479-5577
CITY:SANTA ROSASTATE: CAZIP CODE:
95403
CAPACITY:48CENSUS: 29DATE:
01/27/2025
UNANNOUNCEDTIME BEGAN:
10:01 AM
MET WITH:Zoe TeeterTIME COMPLETED:
10:30 AM
ALLEGATION(S):
1
2
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9
Staff allow infants to be left alone in highchairs
INVESTIGATION FINDINGS:
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 A subsequent complaint investigation visit was conducted today by Licensing Program Analysts (LPA(s), S. Phouthavong and M. Mohr who met with Licensee, Zoe teeter and Director, Dana Powell for the purpose of delivering complaint investigation findings for the above allegation. LPA previously conducted an inspection on 11/06/2024 to initiate the investigation and met with Licensee to discuss the allegations, conduct interview(s), make observations, and request documents. It was alleged that staff allow infants to be left alone in highchairs specifically, infants are left in highchairs eating food while the teacher would be in another room.

During the course of the investigation, LPA conducted interviews with the Licensee (LS), Director, four Staff (S1 – S4) and three Adults (A2 – A4) from 11/06/2024 to 01/24/2025. LS and Director denied the allegation. LS and D1 stated highchairs are only used to only assist children with eating meals and staff would always remain close with the children.
(Continued on LIC 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Sebastian Phouthavong
LICENSING EVALUATOR SIGNATURE:

DATE: 01/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 01-CC-20241031092858
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
FACILITY NUMBER: 493010486
VISIT DATE: 01/27/2025
NARRATIVE
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(Continued from LIC 9099-A)

Interviews from staff (S1 – S4) have stated the children are never left unattended when on the highchair with S3 further stating that an additional staff member would provide assistants if needed. Staff interviews corroborated with LS and D1’s statements. Additionally, from LPA(s), M. Mohr and S. Phouthavong’s observations on 10/21/2024, a child was observed to be on a highchair with staff member providing supervision but was not being feed a meal during the inspection. Interviews conducted by Adults (A2 – A4) currently did not have any concerns with the allegation filed against the facility.

Based on the information gathered during this investigation, although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that the allegations occurred and therefore are determined to be unsubstantiated. There were no Title 22 deficiencies cited. This report was reviewed and discussed with the Licensee, Zoe Teeter. Appeal rights were provided. Notice of Site Visit shall be posted for 30 days from today's visit.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Sebastian Phouthavong
LICENSING EVALUATOR SIGNATURE:

DATE: 01/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5