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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 493008773
Report Date: 02/23/2024
Date Signed: 02/28/2024 03:57:22 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
11/28/2023 and conducted by Evaluator Leticia Rosales
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20231128171342

FACILITY NAME:MEDINA, MARIA FCCHFACILITY NUMBER:
493008773
ADMINISTRATOR:MEDINA, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 849-9373
CITY:WINDSORSTATE: CAZIP CODE:
95492
CAPACITY:14CENSUS: 10DATE:
02/23/2024
UNANNOUNCEDTIME BEGAN:
11:55 AM
MET WITH:Maria MedinaTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Licensee not meeting daycare child’s diapering needs resulting in a diaper rash.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Leticia Rosales-Meza conducted a subsequent complaint investigation inspection, for the purpose of delivering complaint findings, and met with the Licensee, Maria (Blanca) Medina. It was alleged that Licensee not meeting daycare child’s diapering needs resulting in a diaper rash, specifically that Licensee leaves Child 1 (C1) in soiled diapers resulting in a diaper rash.

During the initial complaint investigation to the facility on 12/06/23, LPA Rosales-Meza toured the facility, and records were reviewed. LPA conducted an interview with the Licensee on 12/06/23. The Licensee denied the allegation and stated Child (C1) does not use a diaper anymore and when C1 was using diapers, C1 did not sustain a diaper rash while in my care. Licensee stated C1 did arrive to my day care one day with a little redness, but was not a diaper rash. Licensee stated she did question Parent 2 (P2) about it, and P2 stated it was probably due to the heat because it was during the heat weather. Licensee stated that she changes diapers constantely and no day care child has sustained a diaper rash while in her care.

Continue on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Leticia Rosales
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 01-CC-20231128171342
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: MEDINA, MARIA FCCH
FACILITY NUMBER: 493008773
VISIT DATE: 02/23/2024
NARRATIVE
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Interviews were conducted with Parents (P2-P5) on 2/21/24 and 2/23/24. According to their statements they haven't had any issues with diaper rashes.

During the inspection tours of the facility, LPA observed the Licensee promptly tending to all the children's needs. LPA observed Licensee changing younger children's diapers constantly.

Based on interviews conducted, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is Unsubstantiated. There was no Title 22 deficiency cited based on the above findings. Exit interview conducted and report was reviewed and discussed with Licensee, Maria (Blanca) Medina. 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: Leticia Rosales
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4