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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 483010367
Report Date: 02/24/2026
Date Signed: 02/24/2026 04:42:43 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC 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
12/03/2025 and conducted by Evaluator Yang Yang
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20251203122311
FACILITY NAME:MACK, ADRIENNE FCCHFACILITY NUMBER:
483010367
ADMINISTRATOR:ADRIENNE MACKFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 409-2206
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY:14CENSUS: 3DATE:
02/24/2026
UNANNOUNCEDTIME BEGAN:
02:36 PM
MET WITH:Adrienne MackTIME COMPLETED:
04:12 PM
ALLEGATION(S):
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-Licensee uses inappropriate forms of discipline
INVESTIGATION FINDINGS:
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An unannounced follow-up complaint investigation visit was conducted today by Licensing Program Analyst (LPA) Y. Yang to deliver the findings of the complaint investigation. It was alleged that the licensee utilizes an inappropriate form of discipline. Specifically, the allegation stated that the licensee uses a “stick” to threaten daycare children.

On February 24, 2026, the Licensing Program Analyst (LPA) met with the facility’s licensee, Adrienne Mack (L1), to review the findings of the investigation. During the initial site visit on December 5, 2025, the licensee was interviewed regarding the allegation. The licensee denied striking any child with her hands or with any object. The licensee acknowledged that she has used a wooden back scratcher, referred to as “the stick,” exclusively to threaten her own grandchildren, who also attend the facility, when they were misbehaving or noncompliant. She emphasized that the back scratcher has never been used to threaten, discipline, or physically strike any other children enrolled at the facility.
(Continued on LIC9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Yang Yang
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026
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-20251203122311
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: MACK, ADRIENNE FCCH
FACILITY NUMBER: 483010367
VISIT DATE: 02/24/2026
NARRATIVE
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The licensee stated that corporal punishment, including spanking or any other forms of physical discipline, is never used at the facility. She explained that the facility’s primary methods of discipline focus on teaching appropriate behavior through positive guidance. According to the licensee, these methods include age-appropriate time-outs, which provide children with a brief period to calm down and reflect on their behavior, as well as redirection, which involves guiding children toward alternative, constructive activities when they exhibit inappropriate behavior. The licensee also emphasized that all disciplinary actions are tailored to the child’s developmental level and are intended to promote learning, self-control, and respect for others.

Under California Code of Regulations, Title 22, each child receiving services from a family child care home must be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including but not limited to interference with eating, sleeping, or toileting, or withholding shelter, clothing, medication, or aids to physical functioning. These rights cannot be waived or abridged by the licensee regardless of consent or authorization from the child’s authorized representative. Based on the licensee’s own admission on December 5, 2025, she acknowledged using the back scratcher as a threat to influence children’s behavior.

During the course of the investigation, interviews were conducted with staff members (S1–S2) on December 5, 2025. Additional interviews were conducted with daycare children, clients, and other adults familiar with the facility. The staff members interviewed reported that they have never observed the licensee using a back scratcher as a form of discipline or to threaten any child, nor have they observed the licensee or any other adult at the facility hitting or roughly handling a child. Staff further indicated that they understand their responsibilities as mandated reporters and are aware of their legal obligation to report any facts or circumstances that lead them to suspect child abuse or neglect.

Interviews with daycare children, clients, and other adults did not yield any information supporting the allegation. Additionally, during both the LPA’s initial visit and the subsequent follow-up inspection, no evidence of personal rights violations was observed. Children in care appeared to be treated with dignity and respect in their interactions with staff and others, and were provided with safe, healthful, and comfortable accommodations, furnishings, and equipment.

Based on the licensee’s own admission, the preponderance of evidence standard has been met; therefore, the above allegation is found 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 licensee, Adrienne Mack. The Notice of Site Visit shall be posted for 30 days.
SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Yang Yang
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 01-CC-20251203122311
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: MACK, ADRIENNE FCCH
FACILITY NUMBER: 483010367
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/24/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/03/2026
Section Cited
CCR
102423(a)(4)
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Personal Rights
(a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following:(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, including, but not limited to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning. This requirement was not met as evidenced by:
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The licensee shall review the Department's instructional video titled "Children’s Personal Rights in Child Care" and write and submit a statement to the Department by 03/03/26 stating that she has viewed the video and understands its contents. Additionally, during today's follow up visit, the LPA and the licensee reviewed Title 22 section 102423 "Personal Rights." The LPA obtained a signed statement from the licensee indicating that she has read and understands this regulation.

https://ccld.childcarevideos.org/family-child-care-providers/childrens-personal-rights-in-child-care/
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Based on an interview with the licensee Adrienne Mack on 12/05/25, the licensee admitted to using a wooden back scratcher as a threat to influence children’s behavior. This poses a potential health and safety risk to children 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: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Yang Yang
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026
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 CC 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
12/03/2025 and conducted by Evaluator Yang Yang
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20251203122311

FACILITY NAME:MACK, ADRIENNE FCCHFACILITY NUMBER:
483010367
ADMINISTRATOR:ADRIENNE MACKFACILITY TYPE:
810
ADDRESS:1536 EMPIRE STREETTELEPHONE:
(510) 409-2206
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY:5CENSUS: 3DATE:
02/24/2026
UNANNOUNCEDTIME BEGAN:
02:36 PM
MET WITH:Adrienne MackTIME COMPLETED:
04:12 PM
ALLEGATION(S):
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9
Licensee hits daycare children
INVESTIGATION FINDINGS:
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An unannounced follow-up complaint investigation visit to the facility was conducted today by Licensing Program Analyst (LPA) Y. Yang to provide the findings of the complaint investigation. The complaint alleged that the licensee hits children in care. Specifically, it was alleged that on a particular date the licensee hit child C1 with an open hand and struck C1 across the head and back with her hand.

During the initial investigation visit on December 5, 2025, the licensee, Adrienne Mack (L1), was interviewed regarding the allegation. The licensee denied the allegation and stated that she has never violated a child’s personal rights by roughly handling or striking a child. The licensee stated that corporal punishment, including spanking or any other forms of physical discipline, is never used at the facility. She explained that the facility’s primary methods of discipline focus on teaching appropriate behavior through positive guidance. According to the licensee, these methods include age-appropriate time-outs, which provide children with a brief period to calm down and reflect on their behavior, as well as redirection, which involves guiding children toward alternative, constructive activities when they exhibit inappropriate behavior. The licensee also emphasized that all disciplinary actions are tailored to the child’s developmental level and are intended to promote learning, self-control, and respect for others. (Continued on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Yang Yang
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026
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-20251203122311
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: MACK, ADRIENNE FCCH
FACILITY NUMBER: 483010367
VISIT DATE: 02/24/2026
NARRATIVE
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During the course of the investigation, interviews were conducted with staff members (S1–S2) on December 5, 2025. Additional interviews were conducted with daycare children, clients, and other adults familiar with the facility. The staff members interviewed corroborated the licensee’s statements and stated that they have never observed the licensee or any other adult at the facility hit or roughly handle a child. Staff further indicated that they understand their responsibilities as mandated reporters and are aware of their legal obligation to report any facts or circumstances that lead them to suspect child abuse or neglect. Interviews with daycare children, clients, and other adults did not yield any information supporting the allegation.

Additionally, during both the LPA’s initial visit and the subsequent follow-up inspection, no evidence of personal rights violations was observed. The children in care appeared to be treated with dignity in their interactions with staff and others and were provided with safe, healthful, and comfortable accommodations, furnishings, and equipment.

Based on available information, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore, the allegation is determined to be unsubstantiated at this time. There were no Title 22 deficiencies cited. This report was reviewed and discussed with the facility’s licensee, Adrienne Mack. Appeal rights were provided. Notice of Site Visit shall be posted for 30 days from today's visit.
SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Yang Yang
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5