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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 070209024
Report Date: 09/21/2021
Date Signed: 09/21/2021 01:51:46 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
08/06/2021 and conducted by Evaluator Lakeisha Chew
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20210806092739
FACILITY NAME:ACORN LEARNING CENTERFACILITY NUMBER:
070209024
ADMINISTRATOR:GONZALES, ANNAFACILITY TYPE:
850
ADDRESS:816 DIABLO ROADTELEPHONE:
(925) 837-1145
CITY:DANVILLESTATE: CAZIP CODE:
94526
CAPACITY:42CENSUS: 55DATE:
09/21/2021
UNANNOUNCEDTIME BEGAN:
09:47 AM
MET WITH:GONZALES, ANNATIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Personal Rights - Facility did not follow COVID-19 mask guidance
INVESTIGATION FINDINGS:
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At 9:17 AM Licensing Program Analyst (LPA) L. Chew arrived at facility. LPA entered facility and began making observations at 9:45 AM. Today visit was to conduct an unannounced complaint investigation regards to the above allegation. It was alleged that the facility is not following COVID-19 mask guidance. LPA met with Director GONZALES, ANNA. Ms. Gonzales guided LPA on tour of facility inside and out. Present during inspection were 55 preschool-age children in care and 9 staff members which includes Director. During today’s inspection, LPA observed preschool-age children indoors were wearing face masks except for 3 children in the Kangaroos classroom. LPA observed children in the Lions Classroom all had their mask on during indoor play. LPA observed in the Teddy Bear classroom non of the children were wearing mask. Director states children just finished eating snack (cereal). LPA looked in trashcan and observed cereal bowls and unused milk in trash.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) -69-0243
LICENSING EVALUATOR NAME: Lakeisha ChewTELEPHONE: (510) 566-5850
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2021
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 7
Control Number 02-CC-20210806092739
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: ACORN LEARNING CENTER
FACILITY NUMBER: 070209024
VISIT DATE: 09/21/2021
NARRATIVE
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Director states preschool-age children in care wear mask, as required by the CA Department of Public Health (CDPH) as mandated as a necessary precaution to prevent the spread of COVID-19 for children 2-years of age and older. However LPA observed 3 children without mask during inspection.

Documents was obtained for file and reviewed during the course of the investigation and an interview was conducted with Administrator. Based on the LPA observation and interview, this poses a potential health and safety risk to children in care.Therefore, the above allegation is found to be SUBSTANTIATED.

A TECHNICAL VIOLATION related to California Code of Regulations (CCR), (Title 22, Division 12, Chapter 1. 101223(a )(2) is being provided.

Exit interview conducted. Appeal rights was provided to Administrator. Notice of Site visit was provided and must remain posted for 30 days.

SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) -69-0243
LICENSING EVALUATOR NAME: Lakeisha ChewTELEPHONE: (510) 566-5850
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2021
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 02-CC-20210806092739
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: ACORN LEARNING CENTER
FACILITY NUMBER: 070209024
VISIT DATE: 09/21/2021
NARRATIVE
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Documents was obtained for file and reviewed during the course of the investigation and an interview was conducted with Administrator. Based on the LPA observation and interview, this poses a potential health and safety risk to children in care.. Therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations (CCR), (Title 22, Division 12, Chapter 1. 101223(a )(2) is being cited on the attached LIC 9099D. Exit interview conducted. Appeal rights was provided to Administrator. Notice of Site visit was provided and must remain posted for 30 days.
SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) -69-0243
LICENSING EVALUATOR NAME: Lakeisha ChewTELEPHONE: (510) 566-5850
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2021
LIC9099 (FAS) - (06/04)
Page: 7 of 7