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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 493008960
Report Date: 07/15/2025
Date Signed: 07/15/2025 02:29:13 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
04/29/2025 and conducted by Evaluator Yang Yang
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20250429104318
FACILITY NAME:HANSEN, JENNIFER FCCHFACILITY NUMBER:
493008960
ADMINISTRATOR:HANSEN, JENNIFERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 360-5107
CITY:WINDSORSTATE: CAZIP CODE:
95492
CAPACITY:14CENSUS: 11DATE:
07/15/2025
UNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Jennifer HansenTIME COMPLETED:
01:50 PM
ALLEGATION(S):
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Provider restraining daycare child’s fingers.
INVESTIGATION FINDINGS:
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On July 17, 2025, Licensing Program Analyst (LPA) Y. Yang conducted a follow-up visit to the facility to present the findings of an investigation initiated after an allegation was made. The initial visit occurred on May 6, 2025, with a subsequent follow-up on June 13, 2025. The allegation stated that the daycare provider restrained a child's fingers, specifically that the licensee used tape to bind child C1's pinky and ring fingers together to prevent the child from sucking them.

On July 15, 2025, the Licensing Program Analyst (LPA) met with Jennifer Hansen, the facility’s licensee, to discuss the findings of the investigation into an allegation involving child C1. During the initial site visit on May 6, 2025, the licensee was interviewed regarding the claim that C1’s fingers were restrained while in care. The licensee denied the allegation and provided additional details surrounding this alleged incident. The licensee stated that on the day in question, child C1 had open sores on two fingers of each hand due to frequent finger-sucking. The licensee reported that both she and her staff have frequently observed child C1 sucking on their pinky and ring fingers and has discussed this behavior with C1's authorized representative.
(Continued on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Melchisedeck Augustin
LICENSING EVALUATOR NAME: Yang Yang
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
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-20250429104318
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: HANSEN, JENNIFER FCCH
FACILITY NUMBER: 493008960
VISIT DATE: 07/15/2025
NARRATIVE
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The licensee stated that earlier in the day, a Band-Aid was applied to the affected fingers on both hands. The licensee stated that around noon, during a water and sensory table activity, waterproof adhesive tape was used to replace the Band-Aids, as it provides a stronger adhesive suitable for water play. The licensee stated that in order to prevent contaminants from touching the open sores, the tape was applied to keep C1’s fingers clean and discourage C1 from putting their fingers in their mouth. The licensee emphasized that a minimal amount of tape was used to wrap both fingers, ensuring it was not applied too tightly.

The licensee noted that similar measures have been taken for other children as well. The licensee clarified that the tape is typically removed after the activity and replaced with a Band-Aid; however, in this instance, it remained on because C1’s authorized representative arrived earlier than usual for pick-up. The licensee further stated that corporal punishment or other forms of cruel or unusual punishment are never used at the facility.

Throughout the investigation, the LPA conducted observations and interviews with staff members S2-S5 and children. The information obtained did not provide any corroborating evidence to support the allegation. Additionally, during the LPA’s visits to the facility on May 6, June 13, and July 15, no observations were made indicating any violations of children’s personal rights. 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 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 facility’s licensee, Jennifer Hansen. 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: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2