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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483009424
Report Date: 02/07/2024
Date Signed: 02/07/2024 09:13:19 AM

Document Has Been Signed on 02/07/2024 09:13 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:GRAY-MCDANIELS, CARLA FCCHFACILITY NUMBER:
483009424
ADMINISTRATOR:CARLA GRAY-MCDANIELSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 425-4057
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 0DATE:
02/07/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Licensee Carla Gray- McdanielsTIME COMPLETED:
09:25 AM
NARRATIVE
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Licensing Program Analysts (LPA), Elpidia Hernandez Torres and Melchisedeck Augustin, arrived at the facility to conduct a case management inspection to confirm that the Licensee is in compliance with the Temporary Suspension Order issued on 02/02/2024 and to issue an enhanced civil penalty (ECP) for $2000 in accordance with Health and Safety Code 1597.58. This ECP is being assessed today as a result of a violation of personal rights when, during the course of the recent complaint investigations, information was obtained showing the Licensee grabbing a child and throwing the child to the ground in the presence of other day care children. Upon LPAs arrival, there were no children observed in the facility and the TSO was still posted on the front door.

The California Code of Regulations, (Title 22), Section 102423(a)(4) is being cited on the attached LIC 809D. LPAs provided the Licensee with a copy of this report and the Civil Penalty Assessment-Physical Abuse (LIC421D(CC). Appeal rights were provided and discussed with Licensee. Notice of site visit to be posted for 30 days.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE: DATE: 02/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/07/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/07/2024 09:13 AM - It Cannot Be Edited


Created By: Elpidia Hernandez Torres On 02/07/2024 at 08:41 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: GRAY-MCDANIELS, CARLA FCCH
FACILITY NUMBER: 483009424

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/08/2024
Section Cited
CCR
102423(a)(4)

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(a) Each child receiving services from a family child care home shall have certain rights…These rights include, but are not limited to, the following:
(4) 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.
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The department served a TSO. When I get my license back I will correct everything. Most likely I will put cameras on so the parents can check in. The facility will remain closed until TSO is resolved and I’ll put cameras. Licensee agrees to document her written plan of correction and submit the written plan to include attending a training, and installing cameras connected to an application where guardians can have access to.
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This requirement was not met as evidenced by: based on information obtained, the Licensee grabbed and threw a child to the ground in the presence of other day care children. An ECP in the amount of $2000 is being assessed due to the violation of this section resulting in the physical abuse of a child in care. This poses an immediate health and safety risk to children in care.
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Licensee will email, mail or fax the plan to LPA Hernandez Torres on or before 02/08/2024.

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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.
SUPERVISOR'S NAME:Leslie Lepori
LICENSING EVALUATOR NAME:Elpidia Hernandez Torres
LICENSING EVALUATOR SIGNATURE:
DATE: 02/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/07/2024


LIC809 (FAS) - (06/04)
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