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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 483010012
Report Date: 12/12/2022
Date Signed: 12/12/2022 12:33:13 PM

Substantiated


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
09/14/2022 and conducted by Evaluator Elpidia Hernandez Torres
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20220914154807
FACILITY NAME:LITTLE BLESSINGS DAYCAREFACILITY NUMBER:
483010012
ADMINISTRATOR:BARRON BOTELLO, MARTHAFACILITY TYPE:
850
ADDRESS:717 KENTUCKY STREETTELEPHONE:
(707) 720-9706
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY:19CENSUS: 13DATE:
12/12/2022
UNANNOUNCEDTIME BEGAN:
09:51 AM
MET WITH:Center Director Martha Barron BotelloTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Staff repeatedly put blanket over daycare child's head
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Elpidia Hernandez Torres, conducted a subsequent complaint investigation inspection on 12/12/22 at 10:00AM for the purpose of delivering the findings regarding the above allegation. LPA previously met with Center Director on 09/22 and 12/06 to discuss the purpose of the visit and request personnel records. It was alleged that staff repeatedly put blanket over daycare child's head during nap time.

During the course of the investigation, interviews were conducted with four staff members, five guardians, and six children between 09/22/22 and 12/06/22. On 09/22/22, Staff member (S1), reported on 08/18/22 during naptime S1 put a blanket over Child (C1)’s head. Interviews revealed when center director saw the video, Center Director told S1 the action was not allowed. S1 relayed it only occurred during the one instance with C1 and it didn’t happen again. On 09/23/22 Center Director reported police had arrived to the center on 08/19/22 asking to review camera recordings from naptime on 08/18/22. Center Director reported she reviewed video footage and saw S1 repeatedly place blanket over C1 to calm them down for nap time. According to interviews S1 had covered C1’s eyes to go to sleep. Continued on 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2022
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 7
Control Number 01-CC-20220914154807
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: LITTLE BLESSINGS DAYCARE
FACILITY NUMBER: 483010012
VISIT DATE: 12/12/2022
NARRATIVE
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On 09/28/22 LPA requested police report from Fairfield Police regarding visit on 08/19/22. On 10/10/22 LPA received report from officer Diaz which reported on 08/19/22 they had reviewed the video footage from 08/18/22. Officer Diaz observed S1 place blanket over C1’s head, C1 takes blanket off and S1 places blanket back over C1.

Based on evidence received and interviews conducted, the 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 101223(a)(3) is being cited on attached LIC 9099D. This report was reviewed with the Center director and an exit interview was conducted. 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: 12/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 01-CC-20220914154807
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: LITTLE BLESSINGS DAYCARE
FACILITY NUMBER: 483010012
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/12/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/27/2022
Section Cited
CCR
101223(a)(3)
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101223(a)(3) Personal Rights:To be free from...other actions of a punitive nature... included but not limited to...sleeping
This was not met as evidence by. . .
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Center Director agreed to conduct on site training for all staff. Center director stated she would attempt to reach out to local resource and referal agency to review the trainings they have avaible. The center director has a meeting planned on 12/17/2022 and plans to conducting training at that time. Center Director Agreed to submit sign in/ out sheet for the meeting with agenda of topics covered.
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. . . Based on interviews conducted and evidence recieved, S1 placed cover over C1's head twice during nap time. This poses a potential health and safty risk to children in care.
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Via fax, email or mail to LPA Hernandez Torres.
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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: 12/12/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 7
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
09/14/2022 and conducted by Evaluator Elpidia Hernandez Torres
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20220914154807

FACILITY NAME:LITTLE BLESSINGS DAYCAREFACILITY NUMBER:
483010012
ADMINISTRATOR:BARRON BOTELLO, MARTHAFACILITY TYPE:
850
ADDRESS:717 KENTUCKY STREETTELEPHONE:
(707) 720-9706
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY:19CENSUS: 13DATE:
12/12/2022
UNANNOUNCEDTIME BEGAN:
09:51 AM
MET WITH:Center Director Martha Barron BotelloTIME COMPLETED:
12:45 PM
ALLEGATION(S):
1
2
3
4
5
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7
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9
Staff handled daycare child roughly
INVESTIGATION FINDINGS:
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13
Licensing Program Analyst (LPA), Elpidia Hernandez Torres, conducted a subsequent complaint investigation inspection on 12/12/22 at 10:50AM for the purpose of delivering the findings regarding the above allegation. LPA previously met with Center Director on 09/22 and 12/06 to discuss the purpose of the visit and request personnel records. It was alleged that staff handled Daycare child roughly during nap time.

During the course of the investigation, interviews were conducted with four staff members, five guardians, and six children between 09/22/22 and 12/06/22. On 09/22/22, Staff member (S1), reported on 08/18/22 during naptime Child ( C1) was jumping on cot and S1 grabbed C1 and laid them down on the cot and told them they need to stay on their own bed. On 09/23/22 Center Director denied any staff member had handled any child roughly. Interviews revealed if children are not listening or following directions they get sent to time out which is a red chair. One child reported staff only place their hands on the children when they are getting tickled. Another child stated S1 placed their hands on a child’s back and startled them. Guardians reported they had not seen staff physically handle a day care child roughly. Contiued on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2022
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 7
Control Number 01-CC-20220914154807
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: LITTLE BLESSINGS DAYCARE
FACILITY NUMBER: 483010012
VISIT DATE: 12/12/2022
NARRATIVE
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Center Director reported police had arrived to the center on 08/19/22 asking to review camera recordings from nap time on 08/18/22. On 09/28/22 LPA requested police report from Fairfield Police regarding visit on 08/19/22. On 10/10/22 LPA received report from officer Diaz which reported on 08/19/22 they had reviewed the video footage from 08/18/22 and observed C1 stand up from their cot, S1 grabs C1 and places them back into their cot. LPA reviewed the video footage, and observed C1 sit up from cot as if to stand up and S1 goes over to lay child back on their back. Once C1 is laying down S1 places blanket over child and scoots child up to move their head closer to their sibling’s cot.

Based on interviews conducted and records reviewed, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, therefore the allegation is 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: 12/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 7