013422415-9-2-2021-02-CC-LDYN-C943C2-20211124170712

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 013422415
Report Date: 09/02/2021
Date Signed: 09/02/2021 04:59:46 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
08/27/2021 and conducted by Evaluator Phyllis Dyer

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20210827135621

FACILITY NAME:	PRIDE IN LEARNING MONTESSORI SCHOOL		FACILITY NUMBER:	013422415
ADMINISTRATOR:	LEON, DARA & LAMB, AMBER		FACILITY TYPE:	830
ADDRESS:	1330 LAKESHORE AVE.		TELEPHONE:	(707) 603-9257
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94606
CAPACITY:	16	CENSUS: 5	DATE:	09/02/2021
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Amber Lamb		TIME COMPLETED:	05:30 PM

ALLEGATION(S):

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Physical Plant - There are safety hazards at the facility.

INVESTIGATION FINDINGS:

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LPAs Lisa Dyer and Caroline Colson met with Director Amber Lamb at 1:15 p.m. for the purpose of an unannounced complaint investigation. There were 5 infants present with 2 fingerprint cleared assistants. LPAs toured the facility, conducted interviews and reviewed files. It was alleged that there are safety hazards in the facility.
LPAs observed wall outlets in the room nearest the preschool with no child safety plugs/not covered or childproofed.
Therefore, the above allegation is SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12), are being cited on the attached LIC 9099D and must be corrected by the due date.
Exit interview conducted. Licensee will be given a copy of their appeal rights. This report must be kept available for public review for 3 years.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Phyllis Dyer	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Phyllis Dyer	TELEPHONE: (510) 725-7006
LICENSING EVALUATOR SIGNATURE:	DATE: 09/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021

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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Control Number 02-CC-20210827135621

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: PRIDE IN LEARNING MONTESSORI SCHOOL	FACILITY NUMBER: 013422415
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/02/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 09/16/2021 Section Cited CCR 101238(b)	1 2 3 4 5 6 7	Buildings and Grounds. All children shall be protected against hazards within the center.....:	1 2 3 4 5 6 7	By POC due date, director will need to check all outlets in the facility and insure that all are childproofed.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by observation: outlets were observed in a child care area without being childproofed. This poses a potential health risk to children in care.	8 9 10 11 12 13 14	Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Phyllis Dyer	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Phyllis Dyer	TELEPHONE: (510) 725-7006
LICENSING EVALUATOR SIGNATURE:	DATE: 09/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021

LIC9099 (FAS) - (06/04)

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