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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 493010046
Report Date: 08/02/2023
Date Signed: 08/11/2023 01:30:46 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA 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
05/01/2023 and conducted by Evaluator Sebastian Phouthavong
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20230501125638
FACILITY NAME:SMILEY, CHRISTA FCCHFACILITY NUMBER:
493010046
ADMINISTRATOR:SMILEY, CHRISTAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 206-5392
CITY:SANTA ROSASTATE: CAZIP CODE:
95403
CAPACITY:14CENSUS: DATE:
08/02/2023
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Christa SmileyTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Adult in the home caused injury to day care child.
INVESTIGATION FINDINGS:
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An unannounced inspection was conducted today by Licensing Program Analyst (LPA), Sebastian Phouthavong, who met with Licensee, Christa Smiley, to deliver the finding of the complaint investigation of the above allegation. LPA previously met with Licensee on 5/5/2023 to open the complaint and obtain records. This complaint was investigated by the Department’s Investigative Branch’s Investigator, Sergio Guerra, which alleged that adult(s) (A1, A2) caused injury to a day care child (C1) while in care.

During the complaint investigation, Investigator Guerra reviewed law enforcement and medical records and conducted interviews with the facility’s Licensee, adults, children, and parents on 05/10/23, 06/02/2023, and 06/15/2023. The Licensee denied the allegation stating that it could not have happened as she was the only adult left alone with daycare children. A1 and A2 further denied the allegation stating that they either were not in the facility during the hours of operation or were never left alone with daycare children.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Sebastian Phouthavong
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2023
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-20230501125638
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: SMILEY, CHRISTA FCCH
FACILITY NUMBER: 493010046
VISIT DATE: 08/02/2023
NARRATIVE
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Parent and children interviews resulted in no concerns or issues with the daycare and no disclosures or claims of inappropriate actions were made. According to the law enforcement agency, based on the information currently available, there is no probable cause to indicate a crime had occurred at this time. Medical information indicated that the cause of the injury to the child’s buttock area could not be confirmed or refuted, and that the exam could be consistent with an intentional act but there are other potential causes of the condition.

Based on the IB investigation, although the allegation may have happened or is valid, there is not a preponderance of evidence to support the allegation. Therefore, the allegation is unsubstantiated. This report was read and reviewed with the Licensee. All licensing reports are public information and are available for review. There were no Title 22 deficiencies cited related to this complaint allegation. Appeal rights were provided. The Notice of Site Visit shall be posted for 30 days.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Sebastian Phouthavong
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2