013423038-3-7-2023-52-CC-WNOA-CPZTZG-20230317151017

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 013423038
Report Date: 03/07/2023
Date Signed: 03/07/2023 02:55:48 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
02/13/2023 and conducted by Evaluator Briana Plumboy

PUBLIC

COMPLAINT CONTROL NUMBER: 52-CC-20230213143949

FACILITY NAME:	SAFARI KID UNION CITY		FACILITY NUMBER:	013423038
ADMINISTRATOR:	TARUNKUMAR, DEEPA		FACILITY TYPE:	850
ADDRESS:	32462 & 32464 ALVARADO BLVD		TELEPHONE:	(510) 386-7777
CITY:	UNION CITY	STATE: CA	ZIP CODE:	94587
CAPACITY:	126	CENSUS: 46	DATE:	03/07/2023
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Deepa Tarunkumar- Director		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Personal Rights- Children are left in soiled diapers for an extended period of time
Physical Plant- Passageways are not kept free of obstructions
Lack of Supervision- Staff do not provide proper supervision to children in care

INVESTIGATION FINDINGS:

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On 3/7/23 at 9:15am, Licensing Program Analyst (LPA) B. Plumboy met with Director Deepa Tarunkumar for the purpose of an UNANNOUNCED COMPLAINT INSPECTION. Present for this inspection was 46 preschool age children and 9 staff.
The allegations that the children are left in soiled diapers for an extended period of time, passageways are not kept free of obstructions, and staff do not provide proper supervision to children in care has been SUBSTANTIATED. Based on LPAs observations, interviews, and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Title 22, Division 12, Chapter 1, Sections 101238(c), 101229(a), and 101223(a)(2) are being cited on the attached LIC. 9099D. LIC 9224 was issued and discussed.
A notice of site visit was given and must remain posted for 30 days.
Appeal Rights were given and discussed. An exit interview was conducted.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana Plumboy	TELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023

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 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
02/13/2023 and conducted by Evaluator Briana Plumboy

PUBLIC

COMPLAINT CONTROL NUMBER: 52-CC-20230213143949

FACILITY NAME:	SAFARI KID UNION CITY		FACILITY NUMBER:	013423038
ADMINISTRATOR:	TARUNKUMAR, DEEPA		FACILITY TYPE:	850
ADDRESS:	32462 & 32464 ALVARADO BLVD		TELEPHONE:	(510) 386-7777
CITY:	UNION CITY	STATE: CA	ZIP CODE:	94587
CAPACITY:	126	CENSUS: 46	DATE:	03/07/2023
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Deepa Tarunkumar- Director		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Personal Rights- Staff yell at children in care

INVESTIGATION FINDINGS:

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

On 3/7/23 at 9:15am, Licensing Program Analyst (LPA) B. Plumboy met with Director Deepa Tarunkumar for the purpose of an UNANNOUNCED COMPLAINT INSPECTION. Present for this inspection was 46 preschool age children and 9 staff.
Based on interviews conducted and observations, the allegation staff yell at children in care has been found to be unsubstantiated. 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.
A notice of site visit was given and must remain posted for 30 days.
Appeal Rights were given and discussed. An exit interview was conducted.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana Plumboy	TELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023

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 5

Control Number 52-CC-20230213143949

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: SAFARI KID UNION CITY	FACILITY NUMBER: 013423038
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/07/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 03/07/2023 Section Cited CCR 101238(c)	1 2 3 4 5 6 7	All outdoor and indoor passageways, stairways, inclines, ramps, open porches and other areas of potential hazard shall be kept free of obstruction.	1 2 3 4 5 6 7	On 3/7/23 the director cleared the objects blocking the doorway.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by: Based on observations, during nap time exit doors are blocked and their are chairs in front of an exit. These areas need to be free of obstruction and it poses a potential health and safety 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.
Type B 03/07/2023 Section Cited CCR 101223(a)(2)	1 2 3 4 5 6 7	To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.	1 2 3 4 5 6 7	The director will discuss diapering and train on diapering in a meeting held on 3/8/23. Director will submit a written summary of the meeting.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by: Based on interviews, part time children's diapers are not changed until almost the time they go home unless they defecate which poses a potential health and safety 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.

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) 421-1324
LICENSING EVALUATOR NAME: Briana Plumboy	TELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023

LIC9099 (FAS) - (06/04)

Page: 4 of 5

Control Number 52-CC-20230213143949

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: SAFARI KID UNION CITY	FACILITY NUMBER: 013423038
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/07/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 03/08/2023 Section Cited CCR 101229(a)	1 2 3 4 5 6 7	The licensee shall provide care and supervision as necessary to meet the children's needs.	1 2 3 4 5 6 7	The director will discuss supervison and train on supervision in a meeting held on 3/8/23. Director will submit a written summary of the meeting.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by: Based on observations and interview, although staff understand supervision, it was observed they are not providing 100% visual supervison at all times to children in care which poses an immediate health and safety 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: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana Plumboy	TELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023

LIC9099 (FAS) - (06/04)

Page: 5 of 5