013418519-1-4-2023-52-CC-CCHS-CMWMXW-20230109090038

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 013418519
Report Date: 01/04/2023
Date Signed: 01/04/2023 11:27:36 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
11/04/2022 and conducted by Evaluator Russell Haderer

COMPLAINT CONTROL NUMBER: 52-CC-20221104123612

FACILITY NAME:	PALASTI, ADRIENNE E		FACILITY NUMBER:	013418519
ADMINISTRATOR:	PALASTI, ADRIENNE E		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 427-2351
CITY:	CASTRO VALLEY	STATE: CA	ZIP CODE:	94546
CAPACITY:	14	CENSUS: 3	DATE:	01/04/2023
		UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Adrienne Palasti		TIME COMPLETED:	11:40 AM

ALLEGATION(S):

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Physical Plant

INVESTIGATION FINDINGS:

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On 1/04/2023 at approximately 8:50am, Licensing Program Analyst (LPA) Russ Haderer arrived unannounced to continue the complaint investigation for an allegation of violation of physical plant. On arrival, licensee's fingerprint and associated assistant Jazmin Pena, was present with no children in care. The licensee Adrienne Palasti was out on an errand and arrived within 20 minutes and brought her 6 month old newborn with her. An additional 3 children were dropped off during the visit (2 two years old, 1 three 1/2 years old).
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LPA toured the day-care premises with the licensee.
During the initial visit done on November 10, 2022, LPA observed the on-limits kitchen had leaning stacks of 3 bankers boxes of materials on top of a plastic tubby with other loose items on top of the bankers boxes; there stacks of loose items piled on a small round kitchen table; other stacks of banker boxes on the floor (two boxes, the top one without a lid and overflowing); a stack of 3 bankers boxes on the floor with other items stacked on top; and various other small stacks of bankers boxes stacked two high with miscellaneous items on top of the boxes). These were all near the children's eating table.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 01/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2023

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

Control Number 52-CC-20221104123612

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: PALASTI, ADRIENNE E	FACILITY NUMBER: 013418519
	VISIT DATE: 01/04/2023

NARRATIVE

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LPA also viewed the Learning Center and observed the room was not kept clean and orderly. LPA reviewed photos of these areas with the licensee

After the first visit on November 4, 2023 the licensee cleared up all the bankers boxes and other items in the kitchen area and emailed the LPA pictures to show the area had been cleaned up.

During the January 4, 2023 visit, the LPA viewed the living room and child play room (Room 1) and noted they were clean and organized. The kitchen area had some minor clutter of items but were not considered hazardous.

The Learning Center (Room 2) and hallway area was full of clutter and had stacks of items. Licensee explained that the Learning Center is not in use at this time and children are not allowed in there. The area will be cleaned up before the children are allowed back in. Licensee will place a child gate in the kitchen doorway to prevent children from having access to the hallway and Learning Center.

Based on LPAs observations and interviews with the licensee, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. The facility has not been kept clean and orderly. California Code of Regulations, Title 22, Division 12, Chapter 1, Article 06: number 102417(b), are being cited on the attached LIC. 9099D.”

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 01/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 52-CC-20221104123612

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: PALASTI, ADRIENNE E	FACILITY NUMBER: 013418519
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/04/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 01/20/2023 Section Cited CCR 102417(b)	1 2 3 4 5 6 7	102417 Operation of a Family Child Care Home (b)The home shall be kept clean and orderly, with heating and ventilation for safety and comfort.	1 2 3 4 5 6 7	Licensee to clean and organize the facility. If needed, place items in storage that are not in use. The temporary use of a child gate will be permitted, however, the facility shall be required to be maintained in a clean and orderly fashion.
	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
	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: 01/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2023

LIC9099 (FAS) - (06/04)

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