013418177-4-5-2021-02-CC-MMEA-BZSVLF-20210405163148

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 013418177
Report Date: 04/05/2021
Date Signed: 04/05/2021 12:00:25 PM

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
01/28/2021 and conducted by Evaluator Catherine Fernandes

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20210128145353

FACILITY NAME:	CHATHAM SCHOOL - REDWOOD CAMPUS		FACILITY NUMBER:	013418177
ADMINISTRATOR:	VASQUEZ, MAUREEN		FACILITY TYPE:	830
ADDRESS:	4500 REDWOOD RD.		TELEPHONE:	(510) 531-1302
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94619
CAPACITY:	30	CENSUS: 0	DATE:	04/05/2021
		UNANNOUNCED	TIME BEGAN:	11:36 AM
MET WITH:	Maureen Vasquez		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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7
8
9

Facility failed to report an incident.

INVESTIGATION FINDINGS:

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10
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12
13

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine Fernandes	TELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:	DATE: 04/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2021

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 5

Control Number 02-CC-20210128145353

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: CHATHAM SCHOOL - REDWOOD CAMPUS	FACILITY NUMBER: 013418177
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/05/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Request Denied Type B 04/30/2021 Section Cited CCR 101212(f)	1 2 3 4 5 6 7	Reporting Requirements: The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative. This requirement has not been met as evidenced by:	1 2 3 4 5 6 7	Licensee will conduct a staff meeting to go over reporting requirements and center procedures to ensure all injuries are being reported to parents. Once training is complete send a copy of all staff members that attended and the agenda for the training.
	8 9 10 11 12 13 14	Based on conformation from Staff 1, child 1 had a scratch on leg that was not report to the child's parent, which can be potential danger to child in care.	8 9 10 11 12 13 14
Request Denied Type B 04/30/2021 Section Cited CCR 101226.3(b)	1 2 3 4 5 6 7	Observation of the Child Any unusual behavior, any injury or signs of illness requiring assessment and/or administration of first aid by staff shall be reported to the child's authorized representative and recorded in the child's record. This requirement has not been met as evidenced by:	1 2 3 4 5 6 7	Licensee will come up with a new form that will give parents the opportunity to explain their children's behaviors and ways of communicating and then fax or email a copy to CCLD.
	8 9 10 11 12 13 14	Based on interviews staff was unaware of how child 1 got hurt while in care, which can be a potential danger to children in care.	8 9 10 11 12 13 14

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: Mayla Mendoza	TELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine Fernandes	TELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:	DATE: 04/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2021

LIC9099 (FAS) - (06/04)

Page: 3 of 5

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
01/28/2021 and conducted by Evaluator Catherine Fernandes

COMPLAINT CONTROL NUMBER: 02-CC-20210128145353

FACILITY NAME:	CHATHAM SCHOOL - REDWOOD CAMPUS		FACILITY NUMBER:	013418177
ADMINISTRATOR:	VASQUEZ, MAUREEN		FACILITY TYPE:	830
ADDRESS:	4500 REDWOOD RD.		TELEPHONE:	(510) 531-1302
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94619
CAPACITY:	30	CENSUS: 0	DATE:	04/05/2021
		UNANNOUNCED	TIME BEGAN:	11:36 AM
MET WITH:	Maureen Vasquez		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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7
8
9

Infant sustained unexplained injuries while in care.

INVESTIGATION FINDINGS:

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5
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12
13

On April 5, 2021 at 11:36AM, Licensing Program Analyst (LPA) Catherine Fernandes conducted a tele-visit with Licensee Maureen Vasquez to deliver the finding to the above complaint allegation. Due to COVID-19 the inspection was via telephone. During the course of the investigation LPA Fernandes conducted interviews and reviewed documents pertaining to the complaint. No children were in care during the visit due to spring break.

Child 1 sustained a scratch on his leg and hurt his/her finger while in care, when parent asked about injuries staff was unaware of how or when child 1 received them. Interviews indicated that child 1 does not cry when hurt or uncomfortable therefore making it difficult to know whether or not the child sustained an injury. Therefore the allegation is SUBSTANTIATED, the preponderance of evidence standard has been met. Title 22, is being cited on the attached LIC. 9099D.

Appeal Rights were discussed
An exit interview was conducted
Report and Appeal Rights will be emailed and mailed.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine Fernandes	TELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:	DATE: 04/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2021

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 5

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
01/28/2021 and conducted by Evaluator Catherine Fernandes

COMPLAINT CONTROL NUMBER: 02-CC-20210128145353

FACILITY NAME:	CHATHAM SCHOOL - REDWOOD CAMPUS		FACILITY NUMBER:	013418177
ADMINISTRATOR:	VASQUEZ, MAUREEN		FACILITY TYPE:	830
ADDRESS:	4500 REDWOOD RD.		TELEPHONE:	(510) 531-1302
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94619
CAPACITY:	30	CENSUS: 0	DATE:	04/05/2021
		UNANNOUNCED	TIME BEGAN:	11:36 AM
MET WITH:	Maureen Vasquez		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Infant's diapering needs were not met while in care.

INVESTIGATION FINDINGS:

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

On April 5, 2021 at 11:36AM, Licensing Program Analyst (LPA) Catherine Fernandes conducted a tele-visit with Licensee Maureen Vasquez to deliver the finding to the above complaint allegation. Due to COVID-19 the inspection was via telephone. During the course of the investigation LPA Fernandes conducted interviews and reviewed documents pertaining to the complaint. No children were in care during the visit due to spring break.

An allegation was made that a child had gotten a diaper rash while in care however interviews indicated that the center uses an app called "Bright wheel" where staff is able to send real time messages to parents to let them know when the child's diaper is being changed and whether it was wet or solid. Based on conflicting interviews the above allegations are UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

Exit interview conducted
Report and Appeal right provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine Fernandes	TELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:	DATE: 04/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2021

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 5

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
01/28/2021 and conducted by Evaluator Catherine Fernandes

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20210128145353

FACILITY NAME:	CHATHAM SCHOOL - REDWOOD CAMPUS		FACILITY NUMBER:	013418177
ADMINISTRATOR:	VASQUEZ, MAUREEN		FACILITY TYPE:	830
ADDRESS:	4500 REDWOOD RD.		TELEPHONE:	(510) 531-1302
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94619
CAPACITY:	30	CENSUS: 0	DATE:	04/05/2021
		UNANNOUNCED	TIME BEGAN:	11:36 AM
MET WITH:	Maureen Vasquez		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility is dirty

INVESTIGATION FINDINGS:

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

On April 5, 2021 at 11:36AM, Licensing Program Analyst (LPA) Catherine Fernandes conducted a tele-visit with Licensee Maureen Vasquez to deliver the finding to the above complaint allegation. Due to COVID-19 the inspection was via telephone. During the course of the investigation LPA Fernandes conducted interviews and reviewed documents pertaining to the complaint. No children were in care during the visit due to spring break.
Interviews indicated that some children have been returning home with food and or dirty clothes however parents indicated that it was not something out of the ordinary considering all the outdoor time the children are spending outside due to COVID-19. Licensee Vasquez confirmed that classroom floors are cleaned daily. LPA Fernandes on two different occasions observed the classroom and inspected the areas of the classroom which did not appear dirty. Based on conflicting interviews the above allegations are UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

Appeal Rights were discussed
An exit interview was conducted
Report and Appeal Rights will be emailed and mailed.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine Fernandes	TELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:	DATE: 04/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2021

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 5