483009961-9-29-2021-01-CC-LLEI-C7D27W-20210930170922

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 483009961
Report Date: 09/29/2021
Date Signed: 09/29/2021 12:30:30 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/25/2021 and conducted by Evaluator Kevin O'Connell

COMPLAINT CONTROL NUMBER: 01-CC-20210625085330

FACILITY NAME:	SMITH-WINSTON, ANGELEKA FCCH		FACILITY NUMBER:	483009961
ADMINISTRATOR:	SMITH WINSTON, ANGELEKA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(415) 504-5177
CITY:	VALLEJO	STATE: CA	ZIP CODE:	94589
CAPACITY:	14	CENSUS: 7	DATE:	09/29/2021
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Angeleka Smith-Winston, Licensee		TIME COMPLETED:	12:45 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Licensee handled child in a rough manner.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA), Kevin O’Connell made a subsequent complaint investigation visit on 9/29/21 at 12:00pm and met with Licensee, Angeleka Smith-Winston (LS) to deliver the finding regarding the allegation mentioned above. LPAs Augustin and Hernandez Torres previously met with LS on 07/01/21 to initiate the investigation by discussing the purpose of the visit, making observations, and obtaining a facility roster of the children in care. It was alleged that the Licensee handled a child in a rough manner. The report noted LS pushed a child (C1) on the back which resulted in C1 falling on the floor.
LS denied the allegation, claiming she did not push or hit C1, and LS only grabbed C1’s hand and asked C1 to sit down.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Kevin O'Connell
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2021

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-20210625085330

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA

FACILITY NAME: SMITH-WINSTON, ANGELEKA FCCH	FACILITY NUMBER: 483009961
	VISIT DATE: 09/29/2021

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

LS claimed the facility’s discipline policy consisted of staff first talking with the child(ren), and/or may progress in staff placing that child(ren) in time out in an unspecified area for a period of time in accordance with that child(ren)’s age.

Through the course of the investigation starting from 06/28/21 through 09/16/21, LPA interviewed LS, four children (C2 & C4- C6), five staff (S1- S5) and five parents (P1-P5). Some children were not verbal, too young to interview, not available to be interviewed, or did not qualify to be interviewed. Several children’s statements did not report any concerns about LS handling any child in a rough manner and the statements confirmed the facility discipline policy consisted of staff placing children in a time out for a length of time in accordance with that child(ren)’s age. Another statement did report a staff hit someone, however; that statement was not corroborated. Multiple statements provided by staff and parents reported they felt that the staff developed a great rapport with the child(ren) in care and they had not seen any negative interaction(s) or incident(s) in which staff pushed, hit or violated any child(ren)’s rights in care. Staff reported if they had witnessed such an incident, they were obligated to report the incident as a Mandated Reporter. Furthermore, the statements confirmed that verbal redirection and/or communicating with children to resolve problems/conflicts and child(ren) placed in time out based on their age(s) were among the methods the facility utilized to discipline the children.

During LPA’s visit on 07/01/21, LPA observed staff interacting/engaging with the children in care, and LPA did not witness any negative interaction(s) where staff pushed, hit or violated any child(ren)’s personal rights. Based on the investigation, there’s not a preponderance of evidence to support the allegation and therefore; the allegation is unsubstantiated. This report was discussed and reviewed with LS and an Exit interview was conducted with LS. Notice of Site Visit shall be posted for 30 days. There were no title 22 deficiencies cited during this visit.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Kevin O'Connell
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 2