013422431-4-16-2021-52-CC-WNOA-C2JNK5-20210429103120

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 013422431
Report Date: 04/16/2021
Date Signed: 04/16/2021 01:44:24 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 STE 1102
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/05/2021 and conducted by Evaluator Jonathan Williams

PUBLIC

COMPLAINT CONTROL NUMBER: 52-CC-20210305105507

FACILITY NAME:	YOUNG CHAMPIONS		FACILITY NUMBER:	013422431
ADMINISTRATOR:	SINGHAL, RATNA		FACILITY TYPE:	850
ADDRESS:	39766 CEDAR BLVD.		TELEPHONE:	(650) 270-0315
CITY:	NEWARK	STATE: CA	ZIP CODE:	94560
CAPACITY:	27	CENSUS: 19	DATE:	04/16/2021
		UNANNOUNCED	TIME BEGAN:	12:50 PM
MET WITH:	Ratna Singhal		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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9

Unqualified staff providing care and supervision to day-care children.

INVESTIGATION FINDINGS:

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On 04/16/2021 at 12:50pm Licensing Program Analyst (LPA) Jonathan Williams arrived to the facility unannounced to conclude investigation into the above allegation. LPA was met by Director, Ratna Singhal. Present during today's visit were the Director, three fingerprint cleared and associated teachers and 19 children in care.

During the course of the investigation, LPA conducted interviews and made observations. Based on interviews conducted with facility staff and observations made by LPA Williams, it was determined that two unqualified staff members were providing care and supervision to children as a stopgap measure due to a sudden staff shortage.

Based on LPA observations and interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 12 & Chapter 1) are being cited on the attached LIC 9099-D.

Exit interview conducted. Appeal rights provided.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Jonathan Williams	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 04/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2021

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 3

Citations on this Visit Report are Under Appeal!

Control Number 52-CC-20210305105507

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: YOUNG CHAMPIONS	FACILITY NUMBER: 013422431
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/16/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Under Appeal Type B 04/16/2021 Section Cited CCR 101216.1(c)(1)	1 2 3 4 5 6 7	To be a fully qualified teacher, a teacher shall have one of the following: Twelve post-secondary semester or equivalent quarter units in early childhood education or child development completed, with passing grades, at an accredited or approved college or university; and at least six months of work experience in a licensed child care center or comparable group child care program.	1 2 3 4 5 6 7	Per Director, four fully qualified teachers have been hired and three were present during visit conducted on 04/16/2021.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by: Based on observation and interview, it was determined that two unqualified staff members were providing care and supervision to daycare children. This poses a potential risk to the health and safety to children in care.	8 9 10 11 12 13 14
	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: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Jonathan Williams	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 04/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 3

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
03/05/2021 and conducted by Evaluator Jonathan Williams

PUBLIC

COMPLAINT CONTROL NUMBER: 52-CC-20210305105507

FACILITY NAME:	YOUNG CHAMPIONS		FACILITY NUMBER:	013422431
ADMINISTRATOR:	SINGHAL, RATNA		FACILITY TYPE:	850
ADDRESS:	39766 CEDAR BLVD.		TELEPHONE:	(650) 270-0315
CITY:	NEWARK	STATE: CA	ZIP CODE:	94560
CAPACITY:	27	CENSUS: 19	DATE:	04/16/2021
		UNANNOUNCED	TIME BEGAN:	12:50 PM
MET WITH:	Ratna Singhal		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility staff did not require a daycare child to be signed in.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 04/16/2021 at 12:50pm Licensing Program Analyst (LPA) Jonathan Williams arrived to the facility unannounced to conclude investigation into the above allegation. LPA was met by Director, Ratna Singhal. Present during today's visit were the Director, three fingerprint cleared and associated staff members and 19 children in care.

During the course of investigation, LPA conducted interviews and reviewed records. Based on interviews conducted with parents, LPA did not discover conclusive evidence that any children were not being signed in or signed out. Based on LPA review of children's roster and sign-in/sign-out logs during the time period specified in the allegation, LPA could not find evidence of the child's enrollment at the facility. Based on LPA interview of facility staff, all children currently and previously enrolled at the facility are present on the roster and all children are signed in using the electronic sign-in/sign-out system.

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, therefore the allegation is UNSUBSTANTIATED.

Exit interview conducted. Appeal Rights provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Jonathan Williams	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 04/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 3 of 3