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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 483009064
Report Date: 08/08/2022
Date Signed: 08/08/2022 02:27:46 PM

Substantiated


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
05/02/2022 and conducted by Evaluator Melchisedeck Augustin
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20220502163620
FACILITY NAME:ALANO, THERESE FCCHFACILITY NUMBER:
483009064
ADMINISTRATOR:ALANO, THERESEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 342-2142
CITY:VALLEJOSTATE: CAZIP CODE:
94589
CAPACITY:14CENSUS: 3DATE:
08/08/2022
UNANNOUNCEDTIME BEGAN:
01:24 PM
MET WITH:Therese Alano - LicenseeTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Adult in the home handled child in a rough manner
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Melchisedeck Augustin made an unannounced complaint investigation visit and met with Licensee, Therese Alano (LS). LPA previously met with LS on 05/04/22 to initiate the investigation by discussing the purpose of the visit, conducting interviews with children and staff, and requested facility roster of the children currently in care. It is alleged that an adult in the home handled child in a rough manner. The report more specifically noted that on an unknown date, a staff member adult hit a child (C1) with his/her hand.

LPA, Augustin interviewed LS, one staff (S1), four children (C2-C5), three adults (A1-A3), and two parents (P1 & P2) starting from 05/04/22 through 07/28/22. LS statement corroborated the allegation when stating she used her hand to “pat” at least three child(ren) on either the palm or dorsal side of their hand as a method to discipline and/or correct a child’s behavior. In addition, LS sometimes uses a ruler to pat on the wall or a whistle to get the children’s attention which would quiet the children because they knew LS was upset. For example, such method is used when children do not listen when going to the bathroom. (Continue to LIC 9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2022
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 3
Control Number 01-CC-20220502163620
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: ALANO, THERESE FCCH
FACILITY NUMBER: 483009064
VISIT DATE: 08/08/2022
NARRATIVE
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Furthermore, according to LS, if a child exhibited an undesired behavior such as scattering food or making a mess during meal time, LS talked with that child many times before proceeding to place a child in timeout for 5-10 minutes, and then patted child on their hands. The discipline the Licensee described in her statement is inconsistent and does not comply with the regulatory requirements of children’s personal rights.

S1’s statement confirmed the facility’s discipline policy consisted of putting a child(ren) in time out for less than five minutes while the LS stated no more than 10 minutes. One statement noted seeing an adult hit a child in the face, while another statement reported a teacher hit a child, although details and timeframes could not be provided.

Based on this investigation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. The facility did not comply with the requirements of Personal Rights of California Code of Regulations (CCR) 102423(a)(4). Exit interview conducted, and report was reviewed with the Licensee, Therese Alano. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. California Code of Regulations, Title 22, Division 12 & Chapter 01, Article 06, are being cited on the attached LIC 9099D. Appeal Rights were provided.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 01-CC-20220502163620
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: ALANO, THERESE FCCH
FACILITY NUMBER: 483009064
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/08/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/12/2022
Section Cited
CCR
102423(a)(4)
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To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning.

This requirement is not met as evidenced by:
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Licensee stated and agreed she would research the definition of personal rights and produce a detailed plan where she would define personal rights and how the facility violated children's personal rights, and the method the facility is now utilizing to ensure that children's personal rights are no longer violated. The Licensee stated she would submit
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Based on Licensee and other interviews which corroborated the facility did not comply with the requirements of personal rights. This poses/posed a potential health, safety and/or personal rights risk to the children in care.
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her POC by 08/12/22.

Email: [email protected]
Fax: 707-588-5099
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3