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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013419414
Report Date: 02/10/2022
Date Signed: 02/10/2022 05:07:07 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
11/30/2021 and conducted by Evaluator Catherine Fernandes
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20211130084544
FACILITY NAME:OAKLAND GARDEN SCHOOL, INC.FACILITY NUMBER:
013419414
ADMINISTRATOR:ACLAND-WHEAR, NICOLEFACILITY TYPE:
850
ADDRESS:4012 MAYBELLE AVENUETELEPHONE:
(510) 531-4800
CITY:OAKLANDSTATE: CAZIP CODE:
94619
CAPACITY:72CENSUS: 43DATE:
02/10/2022
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Christina EnerioTIME COMPLETED:
05:15 PM
ALLEGATION(S):
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Unqualified staff providing supervision to day care children.
INVESTIGATION FINDINGS:
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On 2/10/22 at 1:15PM, Licensing Program Analyst (LPA) Catherine Fernandes arrived unannounced to deliver the findings to the above complaint allegation. LPA met with owner Tae Ha and Director Christina Enerio. During the course of the investigation LPA Fernandes conducted interviews and reviewed documents pertaining to the complaint.

Based on a video that was provided to Licensing back in November 2021 an unquailified staff member was caring for children alone. Interviews conducted also confirmed the allegation, 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, Appeal Rights and notice of site visit was provided.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine FernandesTELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2022
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 2
Control Number 02-CC-20211130084544
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: OAKLAND GARDEN SCHOOL, INC.
FACILITY NUMBER: 013419414
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/10/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/10/2022
Section Cited
CCR
101216.1(b)(1)
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Teacher Qualifications and Duties-A teacher shall have completed, with passing grades, at least six postsecondary semester or equivalent quarter units of the education requirement specified in (c)(1) below...Commission on Teacher Credentialing. This requirement has not been met as evidenced by:
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The center shall review the regulations regarding teachers, then provide LIC9095 for all teachers along with supporting documents by proof of correction date.
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Based on interviews and the provided video unqualified staff members was providing care to children, which can pose a potential danger to child in care.
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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 MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine FernandesTELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2