493008727-12-10-2024-01-CC-MAVS-DC9SSL-20241224130808

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 493008727
Report Date: 12/10/2024
Date Signed: 12/10/2024 03:33:30 PM

Unsubstantiated

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
09/24/2024 and conducted by Evaluator Yang Yang

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20240924091914

FACILITY NAME:	4CS GOLD RIDGE PRESCHOOL		FACILITY NUMBER:	493008727
ADMINISTRATOR:	COPELAND, JENNY		FACILITY TYPE:	850
ADDRESS:	1455 GOLF COURSE DRIVE		TELEPHONE:	(707) 586-1253
CITY:	ROHNERT PARK	STATE: CA	ZIP CODE:	94928
CAPACITY:	71	CENSUS: 19	DATE:	12/10/2024
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Arlene “Corazon” Rivera, Site Supervisor		TIME COMPLETED:	02:31 PM

ALLEGATION(S):

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Staff handled daycare child in a rough manner.

INVESTIGATION FINDINGS:

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An unannounced follow-up complaint investigation visit to the facility was made by Licensing Program Analyst (LPA), Y. Yang to deliver complaint investigation findings. It has been alleged that staff S2 handled child C1 in a rough manner. Specifically, it was alleged that S2 roughly grabbed C1 by their wrists, causing the child to cry.

The LPA met with the facility’s site supervisor, Arlene “Corazon” Rivera today to discuss the investigation findings. During the LPA’s initial investigation visit to the facility on 09/30/24, the site supervisor was interviewed regarding the allegations. Rivera stated that she did not observe the alleged incident but was notified of it the following day by a concerned party. Rivera stated that S2 denied the allegation when interviewed. Rivera stated that neither she nor any of C1’s teachers observed any marks or injuries on C1 on the day the allegation was reported. Rivera stated that no other teachers in the classroom reported observing this alleged incident. Rivera stated that she has never observed S2 roughly handle a child. (Continued on LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Yang Yang
LICENSING EVALUATOR SIGNATURE:	DATE: 12/10/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 01-CC-20240924091914

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: 4CS GOLD RIDGE PRESCHOOL	FACILITY NUMBER: 493008727
	VISIT DATE: 12/10/2024

NARRATIVE

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During the investigation, the LPA interviewed S2 regarding the allegation. Staff S2 stated that she denies roughly grabbing C1 by the wrists but acknowledges that she held C1’s hand and used her other hand to grab a toy car from C1’s other hand. Staff S2 stated that C1 was having a temper tantrum and was refusing to leave the facility with their authorized representative at pick up time. Staff S2 stated that she was assisting C1’s authorized representative with the transition and did not believe her actions were inappropriate or rough.

During the investigation, the LPA made unannounced site visits on 09/30/24, 10/04/24, and 10/18/24 to make observations inside the classrooms and interview children and staff members S1-S8. Children and staff that were interviewed did not provide any corroborating information to support the allegation. During the LPA’s site visits, the LPA did not observe any evidence of personal rights violations or staff roughly handling any children in care. Community Care Licensing was notified of the allegation both verbally and through a written Unusual Incident Report (UIR) submitted by Rivera. During today’s inspection, Rivera notified the LPA that S2 is no longer working at this facility.

Based on available information and interviews conducted, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation 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 site supervisor, Arlene “Corazon” Rivera. Appeal rights were provided. Notice of Site Visit shall be posted for 30 days from today's visit.

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Yang Yang
LICENSING EVALUATOR SIGNATURE:	DATE: 12/10/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2024

LIC9099 (FAS) - (06/04)

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