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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 493006290
Report Date: 06/15/2023
Date Signed: 06/15/2023 03:57:55 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
03/20/2023 and conducted by Evaluator Yang Yang
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20230320084055
FACILITY NAME:JACQUEZ, RHONDA FAMILY CHILD CARE HOMEFACILITY NUMBER:
493006290
ADMINISTRATOR:JACQUEZ, RHONDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 280-4236
CITY:PETALUMASTATE: CAZIP CODE:
94954
CAPACITY:14CENSUS: 8DATE:
06/15/2023
UNANNOUNCEDTIME BEGAN:
08:54 AM
MET WITH:Rhonda JacquezTIME COMPLETED:
10:44 AM
ALLEGATION(S):
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-Adult in home yelling while children in care
-Child not being provided adequate food service
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 than an adult in the home is yelling when children are present and that children are not provided adequate meal service while at the facility. The LPA met with the facility’s Licensee, Rhonda Jacquez (staff S1) today to discuss the investigation findings. A tour of the facility’s childcare areas was provided by the Licensee. There were eight children present at the facility being supervised by the Licensee and a staff member. The initial investigation visit was made by the LPA on 03/23/23.

During the initial investigation visit, the Licensee denied the allegations. The Licensee stated that she is not aware of any instance where an adult in the home yelled in the presence of a day care child. The Licensee stated that adults in the home speak to children in calm, indoor voices and never yell at children or in front of children. Continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Yang Yang
LICENSING EVALUATOR SIGNATURE:

DATE: 06/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2023
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-20230320084055
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: JACQUEZ, RHONDA FAMILY CHILD CARE HOME
FACILITY NUMBER: 493006290
VISIT DATE: 06/15/2023
NARRATIVE
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The Licensee stated that all meals and snacks are provided by the facility. The Licensee stated that substitute menu items are available for children with special dietary needs, food sensitivities, or allergies. The Licensee stated that this facility is a participant in the Sonoma County Community Child Care Council’s (4CS) Food Program and receives regular, unannounced inspection visits every three months from the 4CS; the most recent visits were on June 13, 2023 and March 07, 2023. Per the Sonoma County 4C’S provider handbook “The purpose of the 4CS Child Health and Nutrition program is to assist childcare providers in serving nutritious, safe, balanced and varied meals to children in their care and to ensure that the Child and Adult Care Food Program (CACFP) is available, at no cost, to all children, regardless of race, color, religion, national origin, sex, age, or disability.” Providers are also required to provide meals/snacks that meet the USDA nutrition requirements and keep daily records of meals/snacks served and each child’s attendance. During the LPA’s initial inspection visit, the LPA reviewed the Licensee’s daily record of snacks and meals served and inspection reports from 4CS inspectors.

During the investigation, interviews were conducted with staff members S2-S3 on 03/23/23, daycare children, clients, and a representative of the 4CS Food Program. The staff members that were interviewed corroborated the licensee’s statements. Daycare children that were interviewed reported that they have not heard the Licensee or any other staff member yelling inside the home. 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 and believe that adequate meals and snacks are provided by the facility. During the LPA’s initial visit to the facility on 03/23/23 and today’s follow up inspection visit, the LPA did not observe any evidence of personal rights violations.

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, Rhonda Jacquez. 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: 06/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2