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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013421981
Report Date: 05/31/2024
Date Signed: 05/31/2024 12:33:30 PM


Document Has Been Signed on 05/31/2024 12:33 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612



FACILITY NAME:DANIEL CHRISTIAN ACADEMYFACILITY NUMBER:
013421981
ADMINISTRATOR:KONG, DANFACILITY TYPE:
850
ADDRESS:39608 SUNDALE DR #2TELEPHONE:
(510) 516-7608
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY:80CENSUS: 50DATE:
05/31/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:55 AM
MET WITH:Dan KongTIME COMPLETED:
12:30 PM
NARRATIVE
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On May 31st, 2024 at approximately 9:50am, Licensing Program Analyst (LPA) April Wright arrived for Case Management visit and met with Center Director Dan Kong. Purpose of today's visit was to follow up to an unusual incident report submitted by the facility on via email on 5/10/2024 regarding a personal rights violation. There were 50 preschool age children and 10 staff personnel present which includes the Director during today's visit. LPA conducted a health and safety inspection.

Per the incident report received via phone from the Center Director, it stated that, "Emma joined the school on April 8. Since joining she cries at drop off sometimes she cries a lot sometimes she cries and stops. Parents will usually drop her off and she will cry, teacher will comfort her and she will stop. On Tuesday, May 7 Emma was dropped off. She was crying and wouldn't stop crying. Teacher, Linda Mills, tried to comfort Emma but Emma started to turn red and warm and kept scratching all over. To get Emma to calm/cool down Teacher Linda Mills sprayed Emma in the face with a water bottle. Emma's parents were concerned about why their daughter was afraid to go to school so they spoke with Emma's teacher. Emma's teacher informed the parents that she sprayed Emma in the face with water. Emma's parents were upset and had a meeting with the Director. Director spoke with Teacher Linda Mills and Teacher Mills apologized to the parents but the parents are still very upset. Director informed DD of the day that no other teachers were present in the room at the time."

LPA interviewed Center Director and S2 via Facetime regarding the incident. S2 admitted to LPA that they indeed sprayed water in the face of C1 in an attempt to calm the child down and prevent them from hurting or injuring themselves. S2 stated that the C1 has had these "tantrums" since they began attending the school on 4/8/2024 and has them daily. Center Director and S2 both stated that the parents were made aware of C1 "tantrums" and a meeting was held on 5/10 with C1,C1 parents, S2 and Center Director to discuss incident and for S2 to apologize to C1 and parents.. S2 also stated they realize it was not the best practice in trying to calm C1 down using the spray bottle and has apologized to family before being placed on personal leave by the Center School Board. See LIC809C for continuance.

SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April WrightTELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:
DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/31/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: DANIEL CHRISTIAN ACADEMY
FACILITY NUMBER: 013421981
VISIT DATE: 05/31/2024
NARRATIVE
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Based on the interviews and admission, a child's personal rights were violated. This facility is being issued a Type B violation with a Plan of Correction - California Code or Regulations Title 22, Division 12 - Chapter 1 - Article 06 - Section 101223(a)(3) have been cited on the attached LIC809D. Plan of correction for this violation is due by 6/14/2024.

Notice of site visit was given and must remain posted for 30 days. Report read and appeal rights given to Center Director Dan Kong.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April WrightTELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/31/2024 12:33 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612


FACILITY NAME: DANIEL CHRISTIAN ACADEMY
FACILITY NUMBER: 013421981

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/31/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/14/2024
Section Cited
CCR
101223(a)(3)

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101223 (a) (3)To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to; interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.
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Center Director will have staff review the CCLD video regarding personal Rights and have a staff meeting to discuss best practices for handling children with challenging behaviors. LPA will attend staff meeting scheduled by Center Director and must be conducted by 6/14/2024.
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This was evidenced by:
S2 used spray bottle filled with water to calm child down to stop a tantrum and prevent injury, which posed a potential risk to the health, safety, or personal rights of 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: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April WrightTELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:
DATE: 05/31/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/31/2024
LIC809 (FAS) - (06/04)
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