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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 493009022
Report Date: 08/03/2023
Date Signed: 08/03/2023 09:07:13 AM

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
05/30/2023 and conducted by Evaluator Amy Strother
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20230530104450
FACILITY NAME:TREE HOUSE HOLLOW-REDWOOD CAMPUSFACILITY NUMBER:
493009022
ADMINISTRATOR:PITTS, JAMIEFACILITY TYPE:
850
ADDRESS:565 WATERTROUGH ROADTELEPHONE:
(707) 787-8026
CITY:SEBASTOPOLSTATE: CAZIP CODE:
95472
CAPACITY:15CENSUS: 7DATE:
08/03/2023
UNANNOUNCEDTIME BEGAN:
08:41 AM
MET WITH:Amy DeJungTIME COMPLETED:
09:07 AM
ALLEGATION(S):
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Staff hit child in care
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs), Amy Strother and Selena Mariani made a subsequent complaint investigation inspection, for the purpose of delivering complaint findings, and met with Director, Amy DeJung, (D1). It has been alleged that staff hit a child in care, specifically that staff 1(S1) hit child (C1) on the top of their head when not following S1’s directions in the bathroom.

During the investigation LPAs Strother and Mariani interviewed one adult (A1), the Director (D1), two staff, Staff 1 – Staff 2 (S1-S2) and three children, Child 1 – Child 3 (C1-C3) from 06/05/23 through 06/14/23. The facility was toured, and documents obtained on 06/07/23.

On 05/30/23 an Unusual Incident Report (UIR) was received in the Regional Office from the facility informing Licensing that a parent had informed the facility that their child (C1) had alleged that a staff person (S1) hit them on the head in the bathroom when C1 did not want to rinse the soap off their hands.

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

DATE: 08/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2023
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-20230530104450
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: TREE HOUSE HOLLOW-REDWOOD CAMPUS
FACILITY NUMBER: 493009022
VISIT DATE: 08/03/2023
NARRATIVE
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S1 had denied the allegation, stating she wasn’t sure why that was reported, stating that although S1 did grab onto C1’s hands to help them rinse the soap off, she did not hit C1. The UIR stated that because of the allegation, as a precaution, one on one coaching was conducted with S1, covering skills including how to gain cooperation with kids, how to be flexible and being more aware of words/tone used with students and parents. The UIR further stated that an all-staff training was being planned on the topic of personal rights. On 06/14/23 LPA Strother received a copy of the outline of the staff training conducted on 06/02/23.

During interviews conducted, D1, S1 and S2 all denied the allegation, stating that they are not aware of a staff member hitting a child in care. S1 gave a detailed account of helping C1 to wash their hands in the bathroom, when C1 did not want to rinse the soap off when asked. S1 stated that no other children or adults were present in the bathroom at the time that C1 alleged that S1 hit them. S1 denied the allegation, stating that she did not hit C1 in anyway, only placed her hands on top of C1’s to aide them in rinsing the soap from their hands under the water. Staff interviewed stated that the staff are patient with the children and realize that they may be waiting longer than they think for a child to complete a task. Staff interviewed shared that the school is very harmonious. Staff mentioned discipline techniques such as redirection and allowing the child(ren) to help find a solution to problems.

According to children interviews with C1-C3, they all like their school. During interviews with two of the three children, they mentioned that they like their teachers, specifically including S1’s name when naming their teachers. During the interviews, two children stated that teachers help them wash their hands.

Based on interviews conducted, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that an alleged violation occurred, therefore the allegation is UNSUBSTANTIATED.

This report was reviewed and discussed with facility representative, Amy DeJung. Appeal Rights were provided.

Notice of Site Visit shall be posted for 30 days from today's visit. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Amy Strother
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2023
LIC9099 (FAS) - (06/04)
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