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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 493010084
Report Date: 08/02/2024
Date Signed: 08/09/2024 10:26:02 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
04/03/2024 and conducted by Evaluator Leticia Rosales
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20240403110155
FACILITY NAME:MUNOZ ARREOLA, CARMEN FCCHFACILITY NUMBER:
493010084
ADMINISTRATOR:MUNOZ ARREOLA, CARMENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 889-1056
CITY:SANTA ROSASTATE: CAZIP CODE:
95404
CAPACITY:14CENSUS: 6DATE:
08/02/2024
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Carmen MunozTIME COMPLETED:
06:05 PM
ALLEGATION(S):
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Care provider did not meet day care child's hygiene needs.

Licensee did not follow safe sleeping practices for a day care child.
INVESTIGATION FINDINGS:
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 *****This is an Amended document from visit of 8/02/24.******
Licensing Program Analyst (LPA), Leticia Rosales-Meza conducted a subsequent Complaint-Investigation inspection, for the purpose of delivering complaint findings, and met with the Licensee, Carmen Munoz Arreola. It has been alleged that care provider did not meet day care child's hygiene needs, specifically that C1 was found with vomit all over, and C2 went "pee" in pants and went home wet. It has been alleged that Licensee did not follow safe sleeping practices for day care child, specifically there are dirty pillows, and other things in sleeping area play pen (crib) that should not be in there.

During the initial Complaint-Investigation to the facility on 04/08/24, and a follow up Complaint-Investigation to the facility on 6/28/24, LPA requested and received current rosters of children in care, interviewed the Licensee (L1) and children’s files were reviewed. Licensee denied the allegations and stated that children are always being changed diapers, no matter if they or wet as well as clothing. Licensee stated that she's constantly telling parents to bring extra clothing for their children.

Continue on LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Leticia Rosales
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024
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 7
Control Number 01-CC-20240403110155
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: MUNOZ ARREOLA, CARMEN FCCH
FACILITY NUMBER: 493010084
VISIT DATE: 08/02/2024
NARRATIVE
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Licensee stated on one occasion she had to send a child, Child 2 (C2) home wet. Licensee stated that C2 had went "pee" in pants and went home wet and parent got upset. She told parent the reason was because C2 didn't have any more clean clothing here nor in the bag pack to change C2. Licensee stated that infants are placed in pack-n-play (cribs) without blankets or pillows for children under two years old. There are three children who are two years old that still sleep in the pack-n-plays and they are allowed to have a blanket and a pillow.

Based on available information, records reviewed and LPA observations the preponderance of evidence standard has been met, therefore, the allegations are Substantiated. The following violations of the California Code of Regulations, Title 22; Division 12, were observed: see LIC 9099D. Reports citing Type A violations are to be provided to parents/guardians of children currently in enrolled and to parents/guardians of children newly enrolled. This report was reviewed and discussed with the Licensee, Carmen Munoz Arreola. Appeal Rights were provided.

Notice of Site Visit shall be posted for 30 days from today's visit.

SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Leticia Rosales
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 01-CC-20240403110155
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: MUNOZ ARREOLA, CARMEN FCCH
FACILITY NUMBER: 493010084
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/02/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/02/2024
Section Cited
CCR
102423(a)(2)
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Personal Rights (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative.
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Licensee stated she will review the Personal Rights Regulation 102423 and sign and date that she has read and understands the personal rights regulation. Licensee stated that she will hold a training with staff and review the Personal Rights Regulation 102423 and have staff sign a
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These rights include, but are not limited to, the following: (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This was not met as evidenced by:
Based on Licensee's statement and records obtained, confirming she sent C2 home with wet clothing, due to not having clean clothing at the facility for C2.
This posed an immediate health, safety and personal rights risk to that child in care.
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statement that they have reviewed and understand the regulation and shall submit it to CCL by 08/02/24.

[email protected]
(707)588-5099
Type A
08/02/2024
Section Cited
CCR
102425
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Infant Safe Sleep (b) Cribs or play yards shall be free from all loose articles and objects.

This requirement was not met as evidenced by:
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Licensee stated she will remove all loose objects from play yards used by infants. L1 will review the Infant Safe Sleep Regulations, along with her assistants submitting a signed statement from L1 and S1 that they understand and will follow the regulations and shall submit it to CCL by 08/02/24.

[email protected]
(707)588-5099
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 **This is an Amended document**
Based on photograph obtained, one year old Child 1 (C1) was in a pack-n-play at the facility with a pillow and blankets and vomit on their chin, shirt, vest and hands. On 6/28/24 LPA's observed, two pack-n-plays that had either blankets or pillows or both.
This posed an immediate health, safety and personal rights risk to that child in care.
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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: Alexis Hollon
LICENSING EVALUATOR NAME: Leticia Rosales
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 7
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
04/03/2024 and conducted by Evaluator Leticia Rosales
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20240403110155

FACILITY NAME:MUNOZ ARREOLA, CARMEN FCCHFACILITY NUMBER:
493010084
ADMINISTRATOR:MUNOZ ARREOLA, CARMENFACILITY TYPE:
810
ADDRESS:2306 HOLLY CREEK DRIVETELEPHONE:
(707) 889-1056
CITY:SANTA ROSASTATE: CAZIP CODE:
95404
CAPACITY:14CENSUS: 6DATE:
08/02/2024
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Carmen MunozTIME COMPLETED:
06:05 PM
ALLEGATION(S):
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Facility does not provide a safe and clean environment for day care children.
Care provider did not provide adequate supervision to day care children.
Facility is in disrepair.
Day care child sustained unexplained injuries while in care.
Licensee handled a day care child in a rough manner.
Licensee gave a day care child a pacifier that is not theirs causing the child pain and a rash.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Leticia Rosales-Meza conducted a subsequent Complaint-Investigation inspection, for the purpose of delivering complaint findings, and met with the Licensee, Carmen Munoz-Arreola. It was alleged that facility does not provide a safe and clean environment for day care children, specifically Licensee has nails hanging in the children’s play area. It was alleged that care provider did not provide adequate supervision to day care children, specifically that Child 1 (C1) was found in the garage (day care space) alone crying. It was alleged that the facility is in disrepair, specifically that Child 2 (C2) has cuts on C2’s finger from the slide in the back yard that is broken. It was alleged that day care child sustained unexplained injuries while in care, specifically C1 comes home with all kinds of marks that Licensee has no explanation for. It was alleged that Licensee handled a day care child in a rough manner, specifically that Licensee squeezes C2’s hand and hurts C2. It was alleged that Licensee gave a day care child a pacifier that is not theirs causing the child pain and a rash, specifically that Licensee has continued to give C1 this pacifier that is not C1’s and is filthy causing C1 to get a nasty rash in C1’s mouth for over three months.


Continue on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Leticia Rosales
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 01-CC-20240403110155
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: MUNOZ ARREOLA, CARMEN FCCH
FACILITY NUMBER: 493010084
VISIT DATE: 08/02/2024
NARRATIVE
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 *****This is an Amended document from visit of 8/02/24.******
During the initial Complaint-Investigation to the facility on 04/08/24, and a follow up Complaint-Investigation to the facility on 6/28/24, records were reviewed, and the LPA conducted interviews with the Licensee. The Licensee stated denied the allegations and stated, "I always provide a safe and clean environment for day care children, I do a daily cleaning after the day care children leave and make sure there are no broken object around the entire day care, nor outside". Licensee stated that my staff and I provide adequate supervision to day care children, we never leave them alone. Licensee stated no day care child has sustained unexplained injuries while in my care. I always notify the parents if something happens to their child while in my care. Licensee stated if I notice a bruise or any marks on children when they arrive my day care, I always ask parent what happened to their child. Licensee stated, "I have never handled a day care child in a rough manner". Licensee stated at the moment only one child uses a pacifier and only uses it's own, I never give children pacifiers that doesn't belong to them. Licensee stated a previous child (C1) used a pacifier, but C1 had an allergic to the skin, but not caused by the pacifier.
During the investigation, the LPA made observations, and obtained additional information. An interview was conducted with Staff 1 (S1) and Child 4 (C4). During the LPA’s inspections to the facility, the LPA did not observe any evidence of personal rights violations, or any children being yelled at by a staff member or mistreated.

Based on available information, although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations did or not occur, therefore, the allegations are determined to be Unsubstantiated at this time. There was no Title 22 deficiency cited based on the above findings. Exit interview conducted and report was reviewed and discussed with Licensee, Carmen Munoz Arreola. Appeal Rights were provided.





Notice of Site Visit shall be posted for 30 days from today's visit.
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Leticia Rosales
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 7