013422457-8-23-2021-52-CC-WNOA-C8EVV3-20211103164538

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 013422457
Report Date: 08/23/2021
Date Signed: 08/23/2021 03:52:14 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
08/12/2021 and conducted by Evaluator Melanie Otsuji

PUBLIC

COMPLAINT CONTROL NUMBER: 52-CC-20210812101947

FACILITY NAME:	LITTLE STEAMERS		FACILITY NUMBER:	013422457
ADMINISTRATOR:	FIGONE, CHERRYL		FACILITY TYPE:	850
ADDRESS:	43531 MISSION BLVD.		TELEPHONE:	(510) 557-3337
CITY:	FREMONT	STATE: CA	ZIP CODE:	94539
CAPACITY:	25	CENSUS: 7	DATE:	08/23/2021
		UNANNOUNCED	TIME BEGAN:	11:50 AM
MET WITH:	Sarah Floyd		TIME COMPLETED:	04:10 PM

ALLEGATION(S):

1
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3
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5
6
7
8
9

- Facility does not have complete children's record on file.

INVESTIGATION FINDINGS:

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3
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5
6
7
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9
10
11
12
13

Licensing Program Analyst (LPA) Melanie Otsuji arrived to the facility unannounced to conduct an initial investigation into the above allegation. LPAs met with Director Sarah Floyd. Present during today's visit were 2 staff members and 7 preschool aged children.

During the course of the investigation LPA conducted interviews and conducted record review. At 12:15PM, LPA reviewed 7 children files. Based on the 7 children files, C6's file was incomplete. C6 has been enrolled into the facility for longer than 30 days and there is no child's medical assessment and TB results on file.

Based on LPA observations and interviews which were conducted and record review, 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. 9099D. Exit interview conducted with Director.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 341-5559
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2021

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 5

Control Number 52-CC-20210812101947

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: LITTLE STEAMERS	FACILITY NUMBER: 013422457
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/23/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 09/13/2021 Section Cited CCR 101220(a)	1 2 3 4 5 6 7	Child's Medical Assessments. Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child.	1 2 3 4 5 6 7	C6 is now enrolled and attending public elementary school they no longer require the required medical assessment. CLEARED DURING SITE VISIT
	8 9 10 11 12 13 14	This requirement has not been met as evidence by: C6's file did not have the required medical assessment on file within 30 days of enrollment. This has the potential to be a health and safety risk 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) 622-2593
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 341-5559
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 5

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
08/12/2021 and conducted by Evaluator Melanie Otsuji

PUBLIC

COMPLAINT CONTROL NUMBER: 52-CC-20210812101947

FACILITY NAME:	LITTLE STEAMERS		FACILITY NUMBER:	013422457
ADMINISTRATOR:	FIGONE, CHERRYL		FACILITY TYPE:	850
ADDRESS:	43531 MISSION BLVD.		TELEPHONE:	(510) 557-3337
CITY:	FREMONT	STATE: CA	ZIP CODE:	94539
CAPACITY:	25	CENSUS: 7	DATE:	08/23/2021
		UNANNOUNCED	TIME BEGAN:	11:50 AM
MET WITH:	Sarah Floyd		TIME COMPLETED:	04:10 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

- Classroom shelves are not secure.

INVESTIGATION FINDINGS:

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

Licensing Program Analyst (LPA) Melanie Otsuji arrived to the facility unannounced to conduct an initial investigation into the above allegation. LPAs met with Director Sarah Floyd. Present during today's visit were 2 staff members and 7 preschool aged children.

During the course of the investigation LPA conducted interviews and conducted record review. At 12:07PM, LPA conducted a physical plant tour. In the "physical arena/gross motor" classroom, LPA observed cubbies with items in and on top of the cubbies. The cubbies were not secured/mounted to the wall causing items to fall and wobble when LPA shook the cubbies/cabinets. Additionally, LPA observed shelving within the children's bathrooms to have heavy equipment on high shelves and other items within the bathroom's that could cause injury should it fall.

Based on LPA observations and interviews which were conducted and record review, 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. 9099D. Exit interview conducted with Director.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 341-5559
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2021

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 5

Control Number 52-CC-20210812101947

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: LITTLE STEAMERS	FACILITY NUMBER: 013422457
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/23/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 09/13/2021 Section Cited CCR 101238(a)	1 2 3 4 5 6 7	Buildings and Grounds. The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement is not being met as evidence by: LPA observed items within the children's bathrooms to have heavy equipment that has	1 2 3 4 5 6 7	Facility is to provide photographic proof of cubbies anchored appropriately to the wall. Additionally facility is to move any heavy equipment from top of shelving to lower shelves or move to another area not accessible to children in care. Photographic proof to be submitted to LPA no later than 9/13/2021.
	8 9 10 11 12 13 14	the potential to injure a child should it fall. Additionally, LPA observed cubbies within the "physical arena/gross motor skills classroom" to not be anchored. Items are within and above the cubbies which could fall and pose a hazard to children in care. This has the potential to be a health and safety risk 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) 622-2593
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 341-5559
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2021

LIC9099 (FAS) - (06/04)

Page: 4 of 5