013419436-9-5-2019-02-CC-DPEZ-BFWR4G-20190911124129

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 013419436
Report Date: 09/05/2019
Date Signed: 09/05/2019 02:03:21 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
09/03/2019 and conducted by Evaluator Dayna Collier

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20190903102019

FACILITY NAME:	BUSD - FRANKLIN PRESCHOOL		FACILITY NUMBER:	013419436
ADMINISTRATOR:	MCCAIN, LA SONYA		FACILITY TYPE:	850
ADDRESS:	1460 - 8TH STREET		TELEPHONE:	(510) 644-4533
CITY:	BERKELEY	STATE: CA	ZIP CODE:	94710
CAPACITY:	192	CENSUS: 96	DATE:	09/05/2019
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Maria Carriedo		TIME COMPLETED:	02:03 PM

ALLEGATION(S):

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LACK OF SUPERVISION: Child sustained unexplained injury while in care

INVESTIGATION FINDINGS:

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LPA Dayna Collier met with Principal Maria Carriedo for a complaint investigation regarding the above allegation. It was alleged that a child sustained an injury without staff's knowledge and/or observation. During the course of the investigation, interviews were conducted. Following a Holiday weekend, a parent informed staff that an injury was observed on a child who could not verbalize what occurred. Per staff, the child did not suffer any injury nor displayed any signs of discomfort or infliction of pain prior to the weekend. Bathroom procedures and supervision were discussed. Staff were informed that the child did receive medical treatment. Neither staff, the parents nor the medical professionals were able to determine how, when and/or where the injury may have occurred.
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.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Diane Perez	TELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Dayna Collier	TELEPHONE: (510) 725-7021
LICENSING EVALUATOR SIGNATURE:	DATE: 09/05/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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