013419436-6-9-2022-02-CC-LDYN-CFDEK8-20220614034156

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 013419436
Report Date: 05/12/2022
Date Signed: 06/09/2022 10:00:56 AM

Unsubstantiated

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
03/15/2022 and conducted by Evaluator Arminder Singh

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20220315161626

FACILITY NAME:	BUSD - FRANKLIN PRESCHOOL		FACILITY NUMBER:	013419436
ADMINISTRATOR:	CARRIEDO, MARIA		FACILITY TYPE:	850
ADDRESS:	1460 - 8TH STREET		TELEPHONE:	(510) 644-4533
CITY:	BERKELEY	STATE: CA	ZIP CODE:	94710
CAPACITY:	192	CENSUS: 69	DATE:	05/12/2022
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Maura Blanco		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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9

Neglect/Lack of Supervision

INVESTIGATION FINDINGS:

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13

On 05/12/2022 LPA Singh met with Administrative Assistant, Maura Blanco to deliver the findings for the above allegation. It was alleged that Day care facility was Neglect/Lack of Supervision. LPA Singh conducted interview with multiple Staff who were present during the incident and have stated the child was playing outside and staff did not see child fall.Te\he child did hit his head inside classroom before going out to play. The Teacher's Aide was providing 100% visual supervision when child was showing signs of seizure. The child was standing and eyes were gazing in one direction which prompted the aide to call for help. The child was comforted by the Teacher's Aide immediately, Head Teacher was informed, and emergency personal were called by staff members at facility. The staff also immediately contacted child's authorized representatives. Based on the investigative findings, although the allegation may have happened or be valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time.

The facillity was provided a copy of the appeal rights. An exit interview was conducted and a copy of the complaint investigation report was provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Arminder Singh	TELEPHONE: (510) 725-2063
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2022

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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