010206158-2-27-2023-02-CC-LDYN-CQDN3L-20230329100630

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 010206158
Report Date: 02/27/2023
Date Signed: 02/27/2023 01:18:38 PM

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, SUITE 1102
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/06/2023 and conducted by Evaluator Ashley Curry

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20230206090404

FACILITY NAME:	BOOTH MEMORIAL DAY CARE		FACILITY NUMBER:	010206158
ADMINISTRATOR:	CRAWFORD, BRIDGETT		FACILITY TYPE:	850
ADDRESS:	2794 GARDEN STREET		TELEPHONE:	(510) 535-5088
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94601
CAPACITY:	60	CENSUS:	DATE:	02/27/2023
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Huong Huynh		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Facility staff yells at daycare children.

INVESTIGATION FINDINGS:

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On 02/27/2023 At 1:00 PM Licensing Program Analyst (LPA) A. Curry conducted an unannounced subsequesnt complaint inspection to deliver the finding to the above allegation. LPA met with site supervisor, Huong Hyunh, to explain the purpose of today’s inspection. The LPA previously toured the facility, made observations, and conducted interviews with staff and children. The allegation is facility staff yells at daycare children. During the course of the investigation, interviews with staff and children indicated that children are affected by a staff member’s loud voice. Although the staff member does not use an elevated voice as a form of punishment, children are intimidated and showed signs of sadness.

Based on the LPA’s interviews and observation the preponderance of evidence standard has been met. Therefore the above allegation is found to be SUBSTANTIATED. An exit interview was conducted, appeal rights were given, and a copy of this report was provided to site supervisor Huong Hyunh.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Ashley Curry	TELEPHONE: 510-566-1562
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2023

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

LIC9099 (FAS) - (06/04)

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Control Number 02-CC-20230206090404

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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: BOOTH MEMORIAL DAY CARE	FACILITY NUMBER: 010206158
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/27/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 03/27/2023 Section Cited CCR 101223(a)(1)	1 2 3 4 5 6 7	101223 Personal Rights (a)The licensee shall ensure that each child is accorded the following personal rights:(1)To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidence by:	1 2 3 4 5 6 7	By 03/27/2023 the facility will conduct a training with all staff on personal rights and will submit proof of training to LPA.
	8 9 10 11 12 13 14	During the course of interviews it was determined that children are intimidated and have showed signs of sadness due to a staff member's loud voice, which poses a potential risk to the health, safety, and personal rights of children in care.	8 9 10 11 12 13 14
	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: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Ashley Curry	TELEPHONE: 510-566-1562
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2023

LIC9099 (FAS) - (06/04)

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