010212589-9-16-2022-52-CC-RHAR-CJBSPX-20220916140351

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 010212589
Report Date: 09/16/2022
Date Signed: 09/16/2022 02:04:03 PM

Document Has Been Signed on 09/16/2022 02:04 PM - 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	FREMONT CHRISTIAN PRESCHOOL		FACILITY NUMBER:	010212589
ADMINISTRATOR:	JIMENEZ, NATHANIEL		FACILITY TYPE:	850
ADDRESS:	4760 THORNTON AVENUE		TELEPHONE:	(510) 744-2260
CITY:	FREMONT	STATE: CA	ZIP CODE:	94536
CAPACITY:	197	CENSUS: 90	DATE:	09/16/2022
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Nathaniel Jimenez		TIME COMPLETED:	02:10 PM

NARRATIVE

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On September 16, 2022 at approximately 9:45am Licensing Program Analyst (LPA) Haderer arrived unannounced to investigate a recent incident that occurred on September 1, 2022.

Synopsis of incident:
On Thursday, September 1st at approximately 10am, a teacher (T1) slapped the back of a child’s (C1) hand to remind her to lineup. C1 was crying and another teacher (T2) comforted her. There were no visible marks on the child's hand. T2 addressed the behavior with T1 and notified the Director (D1) as soon as possible.

D1 was notified and alerted the Head of School and HR. D1 interviewed T1 and T2. C1’s parents were contacted. HR met with T1 and sent her home for the day on suspension pending the investigation.

At the close of the investigation, D1 required T1 to view a Children's Personal Rights video on the Child Care Licensing website. The school also paid for two additional courses: Practicing Positive Guidance with Preschool and School Age Children; and Foundations of Positive Guidance (2 hours each). T1 was required to complete these courses no later than Monday, September 5, 2022. T1 completed all courses and returned to the school on Wednesday, September 7, 2022.

Parents of C1 were appreciative of the contact regarding the situation. They expressed understanding and still hold confidence in T1 as their child's teacher.

Upon LPA's arrival, D1 presented staff interview notes and certificates of completion as proof T1 completed both outside purchased courses:

Practicing Positive Guidance with Preschool and School Age Children (completed 9/04/2022)
Foundations of Positive Guidance (completed 9/05/2022)

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 09/16/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2022

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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

FACILITY NAME: FREMONT CHRISTIAN PRESCHOOL	FACILITY NUMBER: 010212589
	VISIT DATE: 09/16/2022

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LPA, toured the facility, and interviewed D1, T1, T2 and an additional teacher T3. As a result of the investigation, a Type A deficiency was issued for personal rights for a violation that have a direct negative impact on either the physical or emotional wellbeing of clients and children in care.

Personal Rights 101223(a)(3):

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 functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.

A copy of the Type A deficiency must be distributed to all families of children in care and signed for on Acknowledgement of Receipt of Licensing Reports form LIC 9224 and retained each child’s file. A copy of the Type A deficiency must be given to families of new children in care and signed for on form LIC 9224 for a one-year period, ending September 2, 2023.

Exit interview conducted and report was reviewed with the center director Nathaniel Jimenez.

A notice of Site Visit was issued that must be posted for 30 days.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 09/16/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 09/16/2022 02:04 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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

FACILITY NAME: FREMONT CHRISTIAN PRESCHOOL	FACILITY NUMBER: 010212589
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/16/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Request Denied Type A 09/19/2022 Section Cited	1 2 3 4 5 6 7	101223 Personal Rights 101223(a)(3) 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...
	8 9 10 11 12 13 14	Based on reporting and interviews, the licensee did not meet the requirement of personal rights as evidenced by a child that was slapped on the back of their hand by their teacher which poses an immediate Health and Safety risk to children in care.	8 9 10 11 12 13 14
	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: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 09/16/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2022

LIC809 (FAS) - (06/04)

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