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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013420975
Report Date: 10/06/2022
Date Signed: 10/06/2022 03:56:35 PM

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, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/29/2022 and conducted by Evaluator Catherine Fernandes
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20220829155520
FACILITY NAME:ACADEMIA DE MI ABUELAFACILITY NUMBER:
013420975
ADMINISTRATOR:REIMANN, CYNTHIAFACILITY TYPE:
850
ADDRESS:2162 MOUNTAIN BLVD STE 300TELEPHONE:
(510) 336-7082
CITY:OAKLANDSTATE: CAZIP CODE:
94611
CAPACITY:53CENSUS: 41DATE:
10/06/2022
UNANNOUNCEDTIME BEGAN:
10:14 AM
MET WITH:Cynthia ReimanTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Facility has an insect infestation.
Day-care children are being bit by insects while in care.
Staff not serving an adequate amount of food to children in care.
INVESTIGATION FINDINGS:
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On 10/06/22, at 10:14AM, Licensing Program Analysts (LPAs) Catherine Fernandes and Indira Loza arrived to deliver the findings to the above allegations and met with Assistant Director Yaneldis Diaz. At around 1:00PM, Director/Owner Cynthia Reiman arrived. Present in care were ten infants, 31 preschoolers and seven additional staff members. During the course of the investigation LPAs conducted interviews with parents, staff and children, observed the classrooms, and reviewed center documentation regarding the allegations.

Interviews indicated there is a flea infestation at the center where children are getting bit, which started around the end of July beginning of August. According to the posted menu for Thursdays the children should be having beans and rice, with salad, oranges and milk, however LPAs observed the children being served tortillas with beans and cheese, oranges and brocoli. On Wednesdays the children should have chicken salad with corn chips (Ensalada de pollo conpaitas de maiz), salad, bananas and milk but according to the revision the children had rice and beans, mixed vegetables and cantaloupe. When reviewing documents regarding what is being served to the children there have been 20 revisions to the current menu since September 1st, 2022.
REPORT CONTINUES ON 9099C.
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: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
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 5
Control Number 02-CC-20220829155520
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: ACADEMIA DE MI ABUELA
FACILITY NUMBER: 013420975
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/06/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/03/2022
Section Cited
CCR
101227(a)(6)
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Food Service- Menus shall be in writing and shall be posted at least one week in advance in an area accessible for review by the child's authorized representative. Copies of the menus as served shall be dated and kept on file for at least 30 days...This requirement has not been met as evidenced by.
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Director/ Owner will come up with a menu that will reflect what is being served to the children while in care 1 week prior to serving. Then send a copy to CCL by proof of correction date.

This is a repeat violation resulting in an immediate civil penalty of $250.
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Based on observations and review there is not a current posted menu that reflects what is being served to children, which poses a potential health risk to children in care.
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Type B
11/03/2022
Section Cited
CCR
101223(a)(2)
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Personal Rights- The licensee shall ensure that each child is accorded the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement has not been met as evidenced by:
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The center will come up with a plan to ensure that children at the center are not getting bit while in care. Then send a copy to CCL by proof of correction date.
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Based on conformation from the Director and interviews, the children at the center are getting flea bites, which poses a potential health risk to children 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: 10/06/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 02-CC-20220829155520
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: ACADEMIA DE MI ABUELA
FACILITY NUMBER: 013420975
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/06/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/03/2022
Section Cited
CCR
101238(a)(1)
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The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. The licensee shall take measures to keep the center free of flies, other insects, and rodents. This requirement has not been met as evidenced by:
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The center will contact an outside service to assess the flea infestation at the center and send proof to CCL by proof of correction date.
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Based on interviews and observations of the children, there is a flea infestation at the center, which poses a potential health and safety risk to children 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: 10/06/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 02-CC-20220829155520
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: ACADEMIA DE MI ABUELA
FACILITY NUMBER: 013420975
VISIT DATE: 10/06/2022
NARRATIVE
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Based on all the menu revisions the center does not adequate amount of food for the children in care. Therefore the allegations are SUBSTANTIATED, the preponderance of evidence standard has been met.


A previous licensing report was issued on 8/31/22 giving notice of the same violation regarding food menus. Because you have been cited for repeating the same violation within 12 months, the following civil penalty of $250 is being assessed.

Title 22 is being cited on the attached LIC. 9099D.

Exit interview conducted with Director
Appeal Rights, Report, Notice of site visit and LIC421FC was provided.
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine FernandesTELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
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
08/29/2022 and conducted by Evaluator Catherine Fernandes
COMPLAINT CONTROL NUMBER: 02-CC-20220829155520

FACILITY NAME:ACADEMIA DE MI ABUELAFACILITY NUMBER:
013420975
ADMINISTRATOR:REIMANN, CYNTHIAFACILITY TYPE:
850
ADDRESS:2162 MOUNTAIN BLVD STE 300TELEPHONE:
(510) 336-7082
CITY:OAKLANDSTATE: CAZIP CODE:
94611
CAPACITY:53CENSUS: 41DATE:
10/06/2022
UNANNOUNCEDTIME BEGAN:
10:14 AM
MET WITH:Cynthia ReimanTIME COMPLETED:
04:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff serving expired food to children in care.
Facility has rodents.
INVESTIGATION FINDINGS:
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5
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13
On 10/06/22, at 10:14AM, Licensing Program Analysts (LPAs) Catherine Fernandes and Indira Loza arrived to deliver the findings to the above allegations and met with Assistant Director Yaneldis Diaz. At around 1:00PM, Director/Owner Cynthia Reiman arrived. Present in care were ten infants, 31 preschoolers and seven additional staff members. During the course of the investigation LPAs conducted interviews with parents, staff and children, observed the classrooms, and reviewed center documentation regarding the allegations.

There is conflicting information regarding the above allegations. Therefore, the allegation 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 with Director
Appeal Rights, Report, Notice of site visit provided.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine FernandesTELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
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