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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 483009496
Report Date: 04/25/2022
Date Signed: 04/25/2022 10:07:11 AM

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
02/02/2022 and conducted by Evaluator Melchisedeck Augustin
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20220202112428
FACILITY NAME:WRIGHT, DAWNIELLE FCCHFACILITY NUMBER:
483009496
ADMINISTRATOR:WRIGHT, DAWNIELLEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 684-3358
CITY:VALLEJOSTATE: CAZIP CODE:
94590
CAPACITY:14CENSUS: 5DATE:
04/25/2022
UNANNOUNCEDTIME BEGAN:
08:55 AM
MET WITH:Dawnielle Wright - LicenseeTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Facility operated over capacity
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Melchisedeck Augustin conducted an unannounced subsequent complaint-Investigation visit and met with Licensee, Dawnielle Wright (LS) to deliver the finding regarding the above allegation. On 02/07/22, LPA met with LS to initiate the investigation, discuss the purpose of the visit; and obtain a facility roster of the children currently in care. It was alleged that the facility operated over capacity.

LPA, Augustin interviewed LS, three children (C1-C3) and two staff (S1-S2), from 02/07/22 through 03/17/22. LS’ statement corroborated the allegation when she confirmed the facility operated with up to 18 children in care for at least two weeks in December 2021 and the whole month of January 2022, which is above the licensed capacity of 14. LS confirmed the facility transported older children from school to the facility, and prior to picking the children up from school, the facility already had 10 children in care. As such, with the existing 10 children in care, plus the additional children transported from school to the facility, it brought the total capacity to 18. (Continue to LIC 9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2022
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-20220202112428
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: WRIGHT, DAWNIELLE FCCH
FACILITY NUMBER: 483009496
VISIT DATE: 04/25/2022
NARRATIVE
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LS further claimed that a conflict in the children’s schedule resulted in the facility operating over capacity at certain times, but she has since resolved the conflict.

A witness statement reported on at least nine occasions, that the facility operated with 15 or more children in care. The Department further obtained evidence from another source that confirmed the facility provided care for up to 22 children at once which exceeded the maximum number of children the facility may care for at any one time, and thus; the facility did not comply with the requirements of California Code of Regulations, 102416.5

Based on the investigation, there’s a preponderance of evidence to show the number of children the facility had in care exceeded the license capacity, resulting in violation of capacity requirements. As such, the California Code of Regulations, Title 22, Division 12, Chapter 1, Article 06 is being cited on the attached LIC 9099D. Exit interview conducted and report was reviewed with the Licensee, Dawnielle Wright. 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. Appeal Rights were provided.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:

DATE: 04/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 01-CC-20220202112428
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: WRIGHT, DAWNIELLE FCCH
FACILITY NUMBER: 483009496
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/25/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/03/2022
Section Cited
CCR
102416.5(a)
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The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.

This requirement is not met as evidenced by: Based on the LS's statement confirming the facility operated with up to 18 children in care
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Licensee stated she would produce a written statement detailing how she resolved the scheduling conflict and brought the facility into compliance with CCR 102416.5 and LPA will also conduct at least two unannounced visits to verify compliance with CCR 102416.5. The Licensee stated she would submit
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for at least two weeks in December 2021 and the whole month of January 2022, which is above the licensed capacity of 14. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
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her written statement to the Department by 05/03/22 via mail, email or fax.

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: 04/25/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3