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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 483005891
Report Date: 01/17/2023
Date Signed: 01/17/2023 03:51:14 PM

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
10/17/2022 and conducted by Evaluator Elpidia Hernandez Torres
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20221017085132
FACILITY NAME:ALL DAY FUN & PLAY CENTER - INFANTFACILITY NUMBER:
483005891
ADMINISTRATOR:DE LOVE, SHARISEFACILITY TYPE:
830
ADDRESS:2220 PENNSYLVANIA AVENUETELEPHONE:
(707) 399-8386
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY:4CENSUS: 4DATE:
01/17/2023
UNANNOUNCEDTIME BEGAN:
10:11 AM
MET WITH:Center Director Heidi BeardenTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Staff restrained infant in a car seat
Licensee not adhering to admissions agreement
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Elpidia Hernandez Torres conducted a subsequent complaint investigation visit with center director for the purpose of delivering complaint investigation findings. LPA previously met with Licensee on 10/24/22 to discuss the purpose of the visit and request personnel records, children roster, and children’s files. It has been alleged; staff restrained infant in a car seat, specifically, adult had entered the day care and observed an infant in a car seat but couldn’t determine the amount of time the infant was in there. And that Licensee is not adhering to admissions agreement, specifically that the center altered an infants schedule to accommodate another family.

Continued on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2023
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-20221017085132
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: ALL DAY FUN & PLAY CENTER - INFANT
FACILITY NUMBER: 483005891
VISIT DATE: 01/17/2023
NARRATIVE
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 During the initial investigation an interview was conducted with Licensee, Center Director, Two teachers, and one Adult on 10/21/22- 11/08/22. Center Director denied the allegations. Licensee reported infants are only placed in car seats when they are ready to go, and car seats are not used to restrain infants. One teacher reported they place infants in the car seat if they are working with another infant, to prevent the infant from being on the floor, but they don’t leave them in there long and it only occurred a few times. The other teacher corroborated the statement, including they have seen a teacher place an infant in a car seat to avoid putting them on the floor for safety reasons, but couldn’t remember how long the infant was in the car seat for. Licensee reported the center asks guardians for the days they want services and if the center can accommodate then they accept the families. Center Director corroborated the statement, adding center director will ask guardians what days they would need services and center director would call Licensee to relay the days/ hours requested and licensee would make the final decision on accepting the family. If the Licensee accepts the family then documents are signed and a file made for the child. Staff reported the infant room usually has two-three infants, but sometimes four.

Interviews were conducted with four adults between 01/05/23 and 01/06/2023. Two adults’ interviews corroborated they observed infants in car seats. One adult stated the infant was not strapped in. Two adults reported they observed car seats with no infants in them. According to interviews the center changed their operating hours which did not correlate with what was on the admissions agreement. The center stated their hours were 06:00AM-06:00PM, but then changed their hours 07:00AM-05:00PM. Another interview revealed the center verbally accepted to provide services for an infant Monday-Friday, but the center asked the adult to change their admissions agreement to Monday-Wednesday to accommodate for another infant. Children’s record review revealed there was an admissions agreement signed by guardians stating services would be provided for three full days within the week. Monday-Wednesday, one day would be on call, but infant would be there every Thursday-Friday. According to interviews, the center verbally asked the adult to choose three days that were required to be consistent each week. Other admissions agreements did not indicate the dates and times the infants were enrolled In the daycare.

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 the alleged violations occurred, therefore the allegations are Unsubstantiated. This report was reviewed and discussed with Center Director, She was provided with a copy of this CIR; and Appeal Rights. All licensing reports are public information and must be made available upon request for at least three years.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
10/17/2022 and conducted by Evaluator Elpidia Hernandez Torres
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20221017085132

FACILITY NAME:ALL DAY FUN & PLAY CENTER - INFANTFACILITY NUMBER:
483005891
ADMINISTRATOR:DE LOVE, SHARISEFACILITY TYPE:
830
ADDRESS:2220 PENNSYLVANIA AVENUETELEPHONE:
(707) 399-8386
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY:4CENSUS: 4DATE:
01/17/2023
UNANNOUNCEDTIME BEGAN:
10:11 AM
MET WITH:Licensee Sharise De LoveTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Facility does not meet infant's food service needs
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Elpidia Hernandez Torres, conducted a subsequent complaint investigation inspection on 01/17/2023 at 02:39PM for the purpose of delivering the findings regarding the above allegation. LPA previously met with Licensee on 10/24/22 to discuss the purpose of the visit and request personnel records, children roster, and children’s files. It was alleged facility does not meet infant's food service needs.

Continued on 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 01-CC-20221017085132
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: ALL DAY FUN & PLAY CENTER - INFANT
FACILITY NUMBER: 483005891
VISIT DATE: 01/17/2023
NARRATIVE
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 During the initial investigation an interview was conducted with Licensee, Center Director, Two teachers, and one Adult on 10/21/22- 11/08/22. Licensee and Center Director denied the allegations. LPA conducted children’s record review on 10/24/22 and found three infants had an infant’s food and service needs plan on file indicating the amount of food/ bottle to feed infants and how often. Interviews revealed a family was bringing formula in containers with pre-measured formula, not all pre-measured formula was going into the designated bottle, leaving some powdered formula in the container. Center Director acknowledged the containers and confirmed it was difficult to pour the pre-measured powder formula in the bottle, and sometimes a bit would stay behind. Staff interviews revealed, only some staff would feed the infants both solid foods and bottles, but there was a staff member that did not feed infants solid foods and only fed infants bottles based on own beliefs of what was appropriate to feed the infant. One staff member corroborated the statement, adding they only feed infants bottles unless center director tells them otherwise.

Based on interviews and record review, the facility did not follow infants food service needs. Therefore preponderance of evidence standard has been met and the above allegation is found to be substantiated. The California Code of Regulations, Title 22, Division 12 & Chapter 1, section 101427 (c) is being cited on attached LIC 9099D . This report was reviewed with the Licensee and an exit interview was conducted. Licensee’s signature was not recorded on this Complaint Investigation Report (CIR), however; a copy was provided and Licensee’s confirmation of read receipt is on file. Notice of Site Visit shall be posted for 30 days. Appeal Rights were provided.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 01-CC-20221017085132
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: ALL DAY FUN & PLAY CENTER - INFANT
FACILITY NUMBER: 483005891
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/17/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
01/31/2023
Section Cited
CCR
101427(c)
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(c) The infant shall be fed in accordance with the individual plan.
This has not been met as evidence by. . .
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Everythree months, licensee will start to make an appoinment with guaridans to review and update infant services plans. Licensee agreed to email infant service and needs plan for four infants currently enrolled to LPA Hernandez Torres.
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. . . Based on interviews and records reviewed staff were not following infants' food service plan. Not all pre-measured formula was getting in the bottle, and a staff member was not feeding infant the food requested by guardian. This poses a potential health and safty risk to children in care.
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Elpidia.hernandez-torres@dss.ca.gov
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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: Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 5