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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 493004282
Report Date: 05/24/2023
Date Signed: 05/24/2023 05:55:09 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
03/01/2023 and conducted by Evaluator Yang Yang
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20230301094531
FACILITY NAME:FOURSHA, GWENDOLEN FAMILY CHILD CARE HOMEFACILITY NUMBER:
493004282
ADMINISTRATOR:FOURSHA, GWENDOLENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 529-4953
CITY:PETALUMASTATE: CAZIP CODE:
94954
CAPACITY:14CENSUS: 12DATE:
05/24/2023
UNANNOUNCEDTIME BEGAN:
01:44 PM
MET WITH:Gwendolen FourshaTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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-Licensee yells at day care children.
-Licensee handles day care child(ren) in a rough manner.
INVESTIGATION FINDINGS:
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An unannounced follow-up complaint investigation visit to the facility was made today by Licensing Program Analyst (LPA), Y. Yang to deliver complaint investigation findings. It was alleged that the Licensee handles daycare children in a rough manner and that the Licensee yells at daycare children. The LPA met with the facility’s Licensee, Gwendolen Foursha (staff S1) today to discuss the investigation findings. A tour of the facility’s childcare areas was provided by the Licensee. There were 12 children present at the facility being supervised by the Licensee and a staff member.

During the initial investigation visit on 03/03/23, the Licensee denied the allegations. The Licensee stated that she has never violated a child’s personal rights by roughly handling a child or using an inappropriate form of discipline. The Licensee stated that she picks up children to move them from one area of the home to another but does not roughly handle them during this transition. The Licensee stated that her facility’s primary form of discipline is using redirection and providing alternate activities to a child. The licensee stated that time outs are used but they are age-appropriate and based on the child’s age. The Licensee stated that corporal punishment or other cruel and unusual forms of punishment are never used at the facility. (Continued on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Yang Yang
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2023
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 2
Control Number 01-CC-20230301094531
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: FOURSHA, GWENDOLEN FAMILY CHILD CARE HOME
FACILITY NUMBER: 493004282
VISIT DATE: 05/24/2023
NARRATIVE
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The Licensee stated that she does not yell at children but does raise her voice with the children on occasion to get their attention. The Licensee stated that the children in care can become loud when playing inside facility and are unable to hear her if she speaks to them in her regular tone or volume. The Licensee stated that she has never threatened or intimidated a daycare child.

During the investigation, interviews were conducted with staff members S2-S3 on 03/03/23, S4 on 5/24/23, daycare children, clients, and other adults. The staff members that were interviewed corroborated the licensee’s statements. Daycare children that were interviewed reported that they have not been roughly handled or yelled at by the Licensee or any other staff member but have observed and heard the Licensee raising her voice with daycare children. Children interviewed stated that they felt safe while in care. The clients that were interviewed all stated that they have never observed any personal rights violations at the facility. One adult interviewed during the investigation reported that they have observed the Licensee yelling at and roughly handling daycare children. The LPA was unable to corroborate this. During the LPA’s initial visit to the facility on 03/03/23 and today’s follow up inspection visit, the LPA did not observe any evidence of children being yelled at or roughly handled by a staff member.

Based on available information, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore, the allegations are 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, Gwendolen Foursha. Appeal rights were provided. Notice of Site Visit shall be posted for 30 days from today's visit.
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Yang Yang
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2023
LIC9099 (FAS) - (06/04)
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