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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013422436
Report Date: 08/01/2019
Date Signed: 08/01/2019 04:42:20 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
07/26/2019 and conducted by Evaluator Cherie Acosta
COMPLAINT CONTROL NUMBER: 52-CC-20190726133000
FACILITY NAME:GLOBAL VILLAGE MONTESSORIFACILITY NUMBER:
013422436
ADMINISTRATOR:KELLY REINBOLTFACILITY TYPE:
850
ADDRESS:4807 HOPYARD RD.TELEPHONE:
(925) 425-7455
CITY:PLEASANTONSTATE: CAZIP CODE:
94588
CAPACITY:120CENSUS: 55DATE:
08/01/2019
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Nikki YelamTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Facility is out of ratio
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Cherie Acosta and Julia Placencia conducted an unannounced inspection to investigate the above allegation. LPAs met with the licensee Nikki Yelam. Ms. Yelam arrived at the facility shortly after LPAs arrival.

LPAs observed the Turtle class to have 27 children present with one teacher and one aide during nap time. LPAs observed 11 of the 27 children awake, the children were up and down off of their mats.

Based on LPAs observation, the preponderance of evidence standard has been met, therefore the above allegation is to be substantiated.

Exit interview conducted with Nikki Yelam. Appeal rights were provided.
Notice of Site visit was provided and must be posted for 30 days.


Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Cherie AcostaTELEPHONE: (510) 856-6376
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2019
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 2
Control Number 52-CC-20190726133000
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: GLOBAL VILLAGE MONTESSORI
FACILITY NUMBER: 013422436
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/01/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/15/2019
Section Cited
CCR
101216.3
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Teacher-Child Ratio. There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below. This requirement was not met
as evidenced by: LPAs observed
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The licensee shall develop a written plan to ensure the proper ratio is maintained at all times. The licensee shall submit a copy of the plan to CCL by 8/15/19.
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27 children present with one teacher and one aide during nap time. LPAs observed 11 of the 27 children awake, the children were up and down off of their mats, which poses a potential risk to the health and safety 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: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Cherie AcostaTELEPHONE: (510) 856-6376
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 2