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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013422037
Report Date: 06/21/2023
Date Signed: 06/27/2023 01:31:58 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 STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/15/2023 and conducted by Evaluator Manel Estoesta
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20230615164206
FACILITY NAME:KIDANGO - REACHFACILITY NUMBER:
013422037
ADMINISTRATOR:CONNIE BYRDFACILITY TYPE:
830
ADDRESS:16335 E. 14TH STTELEPHONE:
(510) 481-4526
CITY:SAN LEANDROSTATE: CAZIP CODE:
94578
CAPACITY:25CENSUS: 13DATE:
06/21/2023
UNANNOUNCEDTIME BEGAN:
04:04 PM
MET WITH:Connie ByrdTIME COMPLETED:
06:40 PM
ALLEGATION(S):
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1. Neglect/Lack of Supervision - Day care child wandered away from the facility due to lack of supervision.

INVESTIGATION FINDINGS:
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On Wednesday, June 21, 2023 at 2:30 pm, Licensing Program Analysts (LPAs) Manel Estoesta and Jaleesa Jackson conducted an unannounced 10-day Initial Complaint Investigation Visit. LPAs met with the Director Connie Byrd, explained the nature of the investigation and complaint findings was delivered on this visit. Present on this visit were 7 staff, 8 toddlers and 5 infants. Facility operates from Monday to Friday 7:30 am to 5:30 pm.

LPAs toured the facility to conduct a health and Safety Inspection with Staff 1 (S1). LPAs conducted staff interview and file review. LPAs obtained copies of the facility's LIC 500, LIC 9040, children's sign in and out and LPAs took photos of the facility's outdoor play exit doors.

RP alleged that C1 wandered away from the facility due to lack of supervision.

See 9099 - C.



Substantiated
Estimated Days of Completion: 90
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2023
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 6
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 STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/15/2023 and conducted by Evaluator Manel Estoesta
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20230615164206

FACILITY NAME:KIDANGO - REACHFACILITY NUMBER:
013422037
ADMINISTRATOR:CONNIE BYRDFACILITY TYPE:
830
ADDRESS:16335 E. 14TH STTELEPHONE:
(510) 481-4526
CITY:SAN LEANDROSTATE: CAZIP CODE:
94578
CAPACITY:25CENSUS: 13DATE:
06/21/2023
UNANNOUNCEDTIME BEGAN:
04:04 PM
MET WITH:Connie ByrdTIME COMPLETED:
06:40 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
2. Reporting Requirements - Staff did not report incident to Licensing.
3. Reporting Requirements - Staff did not notify day care child's authorized representative of the incident.
INVESTIGATION FINDINGS:
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On Wednesday, June 21, 2023 at 2:30 pm, Licensing Program Analysts (LPAs) Manel Estoesta and Jaleesa Jackson conducted an unannounced 10-day Initial Complaint Investigation Visit. LPAs met with the Director Connie Byrd, explained the nature of the investigation and complaint findings was delivered on this visit. Present on this visit were 7 staff and 8 toddlers and 5 infants. Facility operates from Monday to Friday 7:30 am to 5:30 pm.

LPAs toured the facility to conduct a health and Safety Inspection with Staff 1 (S1). LPAs conducted staff interview and file review. LPAs obtained copies of the facility's LIC 500, LIC 9040, children's sign in and out and LPAs took photos of the facility's outdoor play exit doors.

RP alleged Staff did not report incident to Licensing and Staff did not notify day care child's authorized representative of the incident.
See 9099 C.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 52-CC-20230615164206
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 STE 1102
OAKLAND, CA 94612
FACILITY NAME: KIDANGO - REACH
FACILITY NUMBER: 013422037
VISIT DATE: 06/21/2023
NARRATIVE
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Continuation.

Based on LPAs Staff Interview, on 06/13/2023 at around 9:30 am to 10:30 am, during an outdoor play, C1 exited the outdoor play exit door B, unsupervised. The outdoor play exit door B did not alarm when C1 pushed the door and exited to the sidewalk. Staff 2 (S2) stated that S2 and Staff 3 (S3), who were present during the incident, did not see C1 pushed the door and exited the outdoor play exit door B to the sidewalk. S2 stated that when she saw the outdoor play exit door b open, S2 counted the children and C1 was missing, she ran to the outdoor play exit door B, S2 stated that the door was not completey closed, approximately 5 inches gap, S2 pushed the door and look for C1 and S2 saw a woman holding C1 right next to the door. The S2 reach to the woman and the woman handed C1 to S2. S2 and C1 went back inside the facility's outdoor play area.

The Director and facility Staff failed to report the incident to the Licensing Office and to the children's authorized representative which poses a potential risk to the children's health and safety. The Licensee was in violation of Section Reporting Requirements 101212 (d)(1)(C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child, and Reporting Requirements 101212 (d)(1)(f) the items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative. The preponderance of evidence standard has been met; therefore, the above allegations are to be SUBSTANTIATED.

LPAs Estoesta and Jackson informed the Director that this report dated 06/21/2023, includes Type B citations as there are potential risk to the health, safety, or personal rights of children in care.



For Licensing Facility Inspection Reports on our Child Care Transparency Website, please follow the links below.
https://cdss.ca.gov/inforesources/community-care-licensing/facility-search-welcome
https://www.ccld.dss.ca.gov/carefacilitysearch/ Completed reports will be uploaded every week (Sunday).

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director.

SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 52-CC-20230615164206
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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: KIDANGO - REACH
FACILITY NUMBER: 013422037
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/21/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/05/2023
Section Cited
CCR
101212(d)(1)(C)
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3
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5
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7
Section Reporting Requirements 101212 (d)(1)(C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child.....
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5
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7
The Director will prepare and submit a parent-teacher virtual or in person meeting agenda to the Regional Office via mail that outlines the following items; 1. Completed LIC 624 UNUSUAL INCIDENT/INJURY REPORT and Section 101212 REPORTING REQUIREMENTS regulation,
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 Facility Staff failed to report the incident to the Licensing Office which poses a potential risk to the children's health and safety.
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 2. Videos to watch - Parents and Families, and Child Care Center Operators. The Director will submit the attendee’s proof of attendance
POC documenttation should be mailed to RO.
Type B
07/05/2023
Section Cited
CCR
101212(d)(1)(f)
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101212 (d)(1)(f) the items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative....
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The Director will prepare and submit a parent-teacher virtual or in person meeting agenda to the Regional Office via mail that outlines the following items; 1. Completed LIC 624 UNUSUAL INCIDENT/INJURY REPORT and Section 101212 REPORTING REQUIREMENTS regulation,
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14
 Facility Staff failed to report the incident to the Licensing Office which poses a potential risk to the children's health and safety.
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 2. Videos to watch - Parents and Families, and Child Care Center Operators. The Director will submit the attendee’s proof of attendance
POC documenttation should be mailed to RO.
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: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 52-CC-20230615164206
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 STE 1102
OAKLAND, CA 94612
FACILITY NAME: KIDANGO - REACH
FACILITY NUMBER: 013422037
VISIT DATE: 06/21/2023
NARRATIVE
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Continuation.
Based on LPAs Staff Interview, on 06/13/2023 at around 9:30 am to 10:30 am, during an outdoor play, C1 exited the outdoor play exit door B, unsupervised. The outdoor play exit door B did not alarm when C1 pushed the door and exited to the sidewalk. Staff 2 (S2) stated that S2 and Staff 3 (S3), who were present during the incident, did not see C1 pushed the door and exited the outdoor play exit door B to the sidewalk. S2 stated that when she saw the outdoor play exit door b open, S2 counted the children and C1 was missing, she ran to the outdoor play exit door B, S2 stated that the door was not completey closed, approximately 5 inches gap, S2 pushed the door and look for C1 and S2 saw a woman holding C1 right next to the door. The S2 reach to the woman and the woman handed C1 to S2. S2 and C1 went back inside the facility's outdoor play area.

Based on LPA's conducted interviews and records reviewed that S2 and S3 failed to supervise C1 that resulted of C1 exited the outdoor play exit door B to the facility's sidewalk on 06/13/2023 at around 9:30 am to 10:30 am which posed an immediate risk to C1's health and safety. The Licensee was in violation of Section 101229 (a)(1) that no child(ren) shall be left without the supervision, including visual supervision, of a teacher at any time. The preponderance of evidence standard has been met; therefore, the above allegation is to be SUBSTANTIATED.

LPAs Estoesta and Jackson informed the Director that this report dated 06/21/2023, with Type A citation, which shall be posted for 30 consecutive days as there was immediate risk(s) to the health, safety, or personal rights of children in care.


Also, LPAs Estoesta and Jackson informed the Director to provide a copy of this licensing report dated 06/21/2023 that document of any Type A citation, to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.
For Licensing Facility Inspection Reports on our Child Care Transparency Website, please follow the links below.
https://cdss.ca.gov/inforesources/community-care-licensing/facility-search-welcome
https://www.ccld.dss.ca.gov/carefacilitysearch/ Completed reports will be uploaded every week (Sunday).
A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Director.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 52-CC-20230615164206
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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: KIDANGO - REACH
FACILITY NUMBER: 013422037
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/21/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/05/2023
Section Cited
CCR
101229(a)(1)
1
2
3
4
5
6
7
Section 101229 (a)(1) that no child(ren) shall be left without the supervision, including visual supervision, of a teacher at any time....
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The Director will prepare and submit a parent-teacher virtual or in person meeting agenda to the Regional Office via mail that outlines the following items; 1. The licensing report dated 06/21/2023 and the Acknowledgement of Receipt of Licensing Report (LIC 9224),
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S2 and S3 failed supervise C1 that resulted of C1 exited the outdoor play exit door B to the facility's sidewalk on 06/13/2023 at around 9:30 am to 10:30 am which posed an immediate risk to C1's health and safety.
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9
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 2. Videos to watch - Parents and Families, and Child Care Center Operators. The Director will submit the attendee’s proof of attendance
The Director also will submit a completed Work Order of the exit door. POC documenttation should be mailed to RO.
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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: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2023
LIC9099 (FAS) - (06/04)
Page: 6 of 6