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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 010213461
Report Date: 07/02/2019
Date Signed: 07/02/2019 10:47:41 AM



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
05/22/2019 and conducted by Evaluator Dayna Collier
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20190522104615
FACILITY NAME:LIGHTHOUSE KIDDIE KINGDOMFACILITY NUMBER:
010213461
ADMINISTRATOR:RUSHING, EUGENEFACILITY TYPE:
850
ADDRESS:16053 ASHLAND AVENUETELEPHONE:
(510) 278-9386
CITY:SAN LORENZOSTATE: CAZIP CODE:
94580
CAPACITY:19CENSUS: 14DATE:
07/02/2019
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Francine CurryTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
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5
6
7
8
9
PERSONAL RIGHTS: Child in care was inappropriately touched
INVESTIGATION FINDINGS:
1
2
3
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5
6
7
8
9
10
11
12
13
LPA Dayna Collier met with Center Director Francine Curry for a complaint investigation regarding the above allegation. Today there were two staff members supervising 14 children in care. During the course of the investigation, interviews were conducted. It was alleged that a child's personal rights were violated by a staff member's behavior. During interviews, it could not be determined if any incident occurred. Additionally, based on interviews, it could not be proven or disproven whether the alleged incident was a misinterpretation of the child's statements made when interviewed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur. Therefore, the allegation is unsubstantiated..

A SITE VISIT NOTICE WAS POSTED BY DIRECTOR.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Diane PerezTELEPHONE: (510) 622-2590
LICENSING EVALUATOR NAME: Dayna CollierTELEPHONE: (510) 725-7021
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2019
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
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
05/22/2019 and conducted by Evaluator Dayna Collier
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20190522104615

FACILITY NAME:LIGHTHOUSE KIDDIE KINGDOMFACILITY NUMBER:
010213461
ADMINISTRATOR:RUSHING, EUGENEFACILITY TYPE:
850
ADDRESS:16053 ASHLAND AVENUETELEPHONE:
(510) 278-9386
CITY:SAN LORENZOSTATE: CAZIP CODE:
94580
CAPACITY:19CENSUS: 14DATE:
07/02/2019
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Francine CurryTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
PERSONAL RIGHTS: Staff failed to provide adequate supervision resulting in children engaging in inappropriate interactions.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
LPA Dayna Collier met with Center Director Francine Curry for a complaint investigation regarding the above allegation. Today there were two staff members supervising 14 children in care. During the course of the investigation, interviews were conducted. It was alleged that when children are playing on the playground, interactions between the children occur where children are violating each other's personal rights. It was alleged that staff are not intervening in conversations that result in teasing and name calling. Per staff, incidents have occurred where the children are allowed to resolve the conflict between themselves. However, staff were informed that some children may not be able to understand and/or practice methods that ensure they are not causing others to feel humilitated. Therefore, staff supervision and intervention during inappropriate interactions are necessary in making sure everyone is treated with dignity. This includes incidents involving emotional interactions as well as physical interactions. Based on the LPA's observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met. Therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter Number 101223), are being cited on the attached LIC 9099D. See 9099 C attached.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Diane PerezTELEPHONE: (510) 622-2590
LICENSING EVALUATOR NAME: Dayna CollierTELEPHONE: (510) 725-7021
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 5 of 7
Control Number 52-CC-20190522104615
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: LIGHTHOUSE KIDDIE KINGDOM
FACILITY NUMBER: 010213461
VISIT DATE: 07/02/2019
NARRATIVE
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2
3
4
5
6
7
8
9
10
11
12
13
14
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16
17
18
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20
21
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23
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26
27
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32
The attached type B deficiency is cited today and must be corrected by the due date. This report must be available for public review for 3 years.
An exit interview was conducted and the report was discussed. Licensee was provided a copy of their appeal rights (LIC 9058 12/15) and the signature on this form acknowledges receipt of these rights.

A site visit notice was posted by the Director.
SUPERVISOR'S NAME: Diane PerezTELEPHONE: (510) 622-2590
LICENSING EVALUATOR NAME: Dayna CollierTELEPHONE: (510) 725-7021
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2019
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 52-CC-20190522104615
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: LIGHTHOUSE KIDDIE KINGDOM
FACILITY NUMBER: 010213461
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/02/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/11/2019
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.
1
2
3
4
5
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POC: By 7/11/19, a written plan of action will be sent to Licensing detailing steps staff will take to ensure children are not violating each other's personal rights.
8
9
10
11
12
13
14
This requirement was not met as evidenced by interviews conducted. This poses a potential risk to the health and safety of children in care.
CHILDREN ARE VIOLATING EACH OTHER'S RIGHTS ON THE PLAYGROUND.
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9
10
11
12
13
14
1
2
3
4
5
6
7
1
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7
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2
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4
5
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7
1
2
3
4
5
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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: Diane PerezTELEPHONE: (510) 622-2590
LICENSING EVALUATOR NAME: Dayna CollierTELEPHONE: (510) 725-7021
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2019
LIC9099 (FAS) - (06/04)
Page: 7 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, 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
05/22/2019 and conducted by Evaluator Dayna Collier
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20190522104615

FACILITY NAME:LIGHTHOUSE KIDDIE KINGDOMFACILITY NUMBER:
010213461
ADMINISTRATOR:RUSHING, EUGENEFACILITY TYPE:
850
ADDRESS:16053 ASHLAND AVENUETELEPHONE:
(510) 278-9386
CITY:SAN LORENZOSTATE: CAZIP CODE:
94580
CAPACITY:19CENSUS: 14DATE:
07/02/2019
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Francine CurryTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
PERSONAL RIGHTS: Staff failed to provide adequate food service to child.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
LPA Dayna Collier met with Center Director Francine Curry for a complaint investigation regarding the above allegation. Today there were two staff members supervising 14 children in care. During the course of the investigation, interviews were conducted. It was alleged that a child's lunch was served to another child in care. The facility's practice is that children bring lunches from home. An incident occurred when staff failed to notice that one child's lunch was not labelled. Therefore, staff relied on the children to inform them which bowl belonged to whom. One child identified the bowl and began to eat the contents. Staff later were informed that the bowl belonged to another child in care who did not receive his/her lunch that day. Based on the LPA's observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met. Therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter Number 101223), are being cited on the attached LIC 9099D.
See 9099C attached.

A SITE VISIT NOTICE WAS POSTED BY DIRECTOR.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Diane PerezTELEPHONE: (510) 622-2590
LICENSING EVALUATOR NAME: Dayna CollierTELEPHONE: (510) 725-7021
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2019
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 7
Control Number 52-CC-20190522104615
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: LIGHTHOUSE KIDDIE KINGDOM
FACILITY NUMBER: 010213461
VISIT DATE: 07/02/2019
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
The attached type B deficiency is cited today and must be corrected by the due date. This report must be available for public review for 3 years.
An exit interview was conducted and the report was discussed. Licensee was provided a copy of their appeal rights (LIC 9058 12/15) and the signature on this form acknowledges receipt of these rights.
SUPERVISOR'S NAME: Diane PerezTELEPHONE: (510) 622-2590
LICENSING EVALUATOR NAME: Dayna CollierTELEPHONE: (510) 725-7021
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2019
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 52-CC-20190522104615
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: LIGHTHOUSE KIDDIE KINGDOM
FACILITY NUMBER: 010213461
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/02/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/11/2019
Section Cited
CCR
101223(a)(3)
1
2
3
4
5
6
7
101223 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, 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.
1
2
3
4
5
6
7
POC: By 7/11/19, a written plan of action will be sent to Licensing detailing the steps staff will take to ensure children receive the meals provided to them by their parents.
8
9
10
11
12
13
14
This requirement was not met as evidenced by interviews conducted. This poses a potential risk to the health and safety of children in care.
A CHILD IN CARE DID NOT RECEIVE HIS/HER LUNCH BECAUSE STAFF MISTAKENLY GAVE THE LUNCH TO ANOTHER CHILD IN CARE.
8
9
10
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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: Diane PerezTELEPHONE: (510) 622-2590
LICENSING EVALUATOR NAME: Dayna CollierTELEPHONE: (510) 725-7021
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 7