010205718-5-4-2022-52-CC-CCHS-CEAQDS-20220510120510

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 010205718
Report Date: 05/04/2022
Date Signed: 05/04/2022 10:42:39 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/10/2022 and conducted by Evaluator Lorraine Dacanay-Breaux

COMPLAINT CONTROL NUMBER: 52-CC-20220310161609

FACILITY NAME:	ADVENTURES IN LEARNING		FACILITY NUMBER:	010205718
ADMINISTRATOR:	MICHELLE RHONE		FACILITY TYPE:	850
ADDRESS:	3200 HOPYARD ROAD		TELEPHONE:	(925) 462-7123
CITY:	PLEASANTON	STATE: CA	ZIP CODE:	94588
CAPACITY:	100	CENSUS: 59	DATE:	05/04/2022
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Ana Fernandez		TIME COMPLETED:	10:55 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Physical Abuse/Corporal Punishment

INVESTIGATION FINDINGS:

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

On 5/04/22 at 9:00 AM Licensing Program Analyst (LPA) Lorraine Dacanay Breaux and Elimika Woods conducted a Complaint Investigation at Adventures in Learning and met with Director Ana Fernandez. Present for today's inspection was 59 children and 7 staff.

During the course of the investigation, the Department inspected the facility, reviewed videos/records, and conducted interviews. It was confirmed that a child was hit by a teacher while in care. Based on the observations, records and interviews which were obtained throughout the investigation, the preponderance of evidence standard has been met, Therefore, the allegation is SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 is being cited on 9099-D page.

Due to the issuance of a Type A Citation during today's inspection, a copy of this Licensing Report must be POSTED in the facility and PROVIDED to each existing parent by the end of today or next day child is in care. Report also has to be PROVIDED to the parent of children who are enrolled over the next 12 months. In addition, a copy of the LIC 9224 Acknowledgement of Receipt of Licensing Reports must be signed by each parent and kept in each child's file for three years.

LPAs discussed with director the seriousness of the substantiated finding for this complaint. Exit interview was conducted, where this report, the deficiency, plan of correction, and appeal rights were discussed with Director, Ana Ferandez.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2022

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

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/10/2022 and conducted by Evaluator Lorraine Dacanay-Breaux

COMPLAINT CONTROL NUMBER: 52-CC-20220310161609

FACILITY NAME:	ADVENTURES IN LEARNING		FACILITY NUMBER:	010205718
ADMINISTRATOR:	MICHELLE RHONE		FACILITY TYPE:	850
ADDRESS:	3200 HOPYARD ROAD		TELEPHONE:	(925) 462-7123
CITY:	PLEASANTON	STATE: CA	ZIP CODE:	94588
CAPACITY:	100	CENSUS: 59	DATE:	05/04/2022
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Ana Fernandez		TIME COMPLETED:	10:55 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Personal Rights

INVESTIGATION FINDINGS:

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

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 52-CC-20220310161609

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: ADVENTURES IN LEARNING	FACILITY NUMBER: 010205718
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/04/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 06/01/2022 Section Cited CCR 101223(a)(3)	1 2 3 4 5 6 7	101223(a)(3) Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (3)To be free from corporal or unusual punishment, infliction of pain..This requirement was not met as evidence by:	1 2 3 4 5 6 7	By June 1, 2022, Director and staff will watch the Personal Rights Video on CCLD website and formulate a plan on how to ensure safety of children. Director proof of staff meeting with discussed agenda points and staff attendance.
	8 9 10 11 12 13 14	Per LPA’s investigation, it was determined that teacher hit the child in care. Video was reviewed with director and staff. This is a violation of Personal Rights and an immediate risk to the health and safety of children in care.	8 9 10 11 12 13 14	A written plan of action detailing methods of discipline what will be used that will not violate childrens personal rights.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2022

LIC9099 (FAS) - (06/04)

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