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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483007744
Report Date: 05/03/2021
Date Signed: 05/03/2021 12:07:00 PM

Document Has Been Signed on 05/03/2021 12:07 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928
FACILITY NAME:LINNEAR, GLORIA FCCHFACILITY NUMBER:
483007744
ADMINISTRATOR:LINNEAR, GLORIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 422-2075
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 2DATE:
05/03/2021
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Gloria LinnearTIME COMPLETED:
10:45 AM
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Licensing Program Analysts (LPA), Elpidia Hernandez Torres and Melchisedeck Augustin, conducted a video conference tele-inspection with Licensee to deliver this report and citations. Due to COVID-19, the Department suspended field operations, and Licensee agreed to meet with LPAs via video conference. Through the course of a complaint investigation, additional deficiencies were identified involving a personal rights violation, specifically threats of intimidation and yelling towards daycare children, and a violation of reporting requirements, specifically of incidents that occurred on 03/11/2020, 07/06/2020, and 02/25/2021.

During the course of the investigation, interviews were conducted with two daycare staff, six children, and four parents on 03/17/21 and 03/23/21. According to four children interviews (C1 – C4), the facility staff member (S1) yells at children, specifically when S1 wants the children to do something. Interviews indicated that S1 is very loud and is mean sometimes when kids do not listen. On 03/23/2021, S1 admitted that he is loud with the children and uses a stern voice when kids do not complete their daily activities. Furthermore, two of the children (C1, C3) stated that S1 has threatened to put children in the fish tank which presents as intimidation or a threat to children in care.

The investigation also produced medical and law enforcement records that showed incidents occurred at the facility on 03/11/2020, 07/06/2020, and 02/25/2021 in which children sustained injuries requiring medical attention. According to a review of the facility file records, no incident reports were filed with the Department and the Licensee’s interview further confirmed that she did not report these incidents as required by regulation.

Based on the complaint investigation, there is a preponderance of evidence to show that personal rights and reporting requirement violations occurred. As such, the following citations will be issued under the California Code of Regulations, Tittle 22, Division 12 Chapter 1 on the attached Facility Evaluation Report LIC 809D. Appeal rights were provided and exit interview conducted. Licensee’s signature was not recorded, however read receipt is on file. Licensee was provided with a copy of this report.

Notice of Site Visit shall be posted for 30 days from today's visit.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE: DATE: 05/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/03/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/03/2021 12:07 PM - It Cannot Be Edited


Created By: Elpidia Hernandez Torres On 05/03/2021 at 09:15 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928

FACILITY NAME: LINNEAR, GLORIA FCCH
FACILITY NUMBER: 483007744

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/03/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/10/2021
Section Cited
CCR
102416.2(d)

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102416.2(d) The licensee shall report to the Department as provided by Health and Safety Code Sections 1597.467(b)(1) and (2). This requirement is not met as evidenced by:
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 Licensee has agreed to submitt a written and signed statement, reviewing reporting requirements, specifically stating she intends to take more notes of inicdents, notifiy and document Unusual Incident Reports per regulation.
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Through the course of investigation it was found Licensee failed to send in a written report regarding this recent 2/25/21 incident per IB report.
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Type B
05/10/2021
Section Cited
CCR102423(a)(4)

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102423(a)(4) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature… This requirement is not met as evidenced by:
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 Licensee has agreed to research and take additional training on methods of positive guidance and understanding of the personal rights regulation.
Licensee has agreed to submit her written and signed POC and completed LIC 9098 to the deperament by 05/10/2021
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Based on children and staff interviews(S1) yells at children, specifically when S1 wants the children to do something. Interviews indicated that S1 is very loud and is mean sometimes when kids do not listen.
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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.
SUPERVISOR'S NAME:Leslie Lepori
LICENSING EVALUATOR NAME:Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE:
DATE: 05/03/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/03/2021


LIC809 (FAS) - (06/04)
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