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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073402991
Report Date: 05/09/2024
Date Signed: 05/09/2024 03:53:31 PM

Document Has Been Signed on 05/09/2024 03:53 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:SUNNYBROOK LEARNING CENTERFACILITY NUMBER:
073402991
ADMINISTRATOR/
DIRECTOR:		GARG, KRISHNAFACILITY TYPE:
840
ADDRESS:3255 WILLOW PASS ROADTELEPHONE:
(925) 709-6000
CITY:BAY POINTSTATE: CAZIP CODE:
94565
CAPACITY: 35TOTAL ENROLLED CHILDREN: 29CENSUS: 0DATE:
05/09/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Pawan "Paul" GargTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
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On 05/09/2024 at 1:40 PM, Licensing Program Analyst (LPA) Christina Watts conducted an Case Management inspection at Sunnybrook Learning Center and met with Pawan "Paul" Garg and explained the purpose of this visit. During today's visit, there were no school age children in care with 4 school age staff in 2 classroom. Paul stated there are 29 school age children enrolled. All staff caring and supervising school age children have Criminal Record Clearance.

LPA was conducting an complaint investigation regarding an incident that occurred in the facility about or around November 2023. A fight between children broke out in the play yard .S1 tried to break up the fight while S4 stated they did not see the fight happen. While facility was in ratio when the fight occurred, staff that are caring and supervising children are required to have 100% supervision of children in care and to be aware of any incidents that happen in the facility. Also, the facility failed to inform licensing of the incident. Per California Code of Regulations,Title 22, the Director or Designee is required to report any Unusual Incidents that occur in the facility to licensing. Furthermore, during the fight, multiple interviews stated that multiple children were hurt or injured. Per California Code of Regulations, Title 22, the facility is to provide children a healthy and safe environment that is free from any harm or danger that may cause any physical or emotional health or safety of any child. The facility is in violation of California Code of Regulations, Title 22.

LPA Christina Watts informed Paul Garg that this report dated 05/09/2024 documents a Type B citation. Type B citation(s) are a potential risk(s) to the health, safety, or personal rights of children in care.

*SEE LIC 809-D FOR DEFICIENCIES*

Exit interview conducted and report was reviewed with the Paul Garg. A notice of site visit was given and must remain posted for 30 consecutive days.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE: DATE: 05/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/09/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/09/2024 03:53 PM - It Cannot Be Edited


Created By: Christina Watts On 05/09/2024 at 02:23 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: SUNNYBROOK LEARNING CENTER
FACILITY NUMBER: 073402991

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/09/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/20/2024
Section Cited

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101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time...Supervision shall include visual observation.
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This requirement has not been met as evidenced by: Based on interviews, the licensee did not comply with the section cited above when S4 did not provide 100% supervision when fight occured which poses an potential risk to the health, safety or personal rights of children in care.
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Type B
05/13/2024
Section Cited

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101212 Reporting Requirements (d)...during the operation of the child care center...a report shall be made...within the Department's next working day and during its normal business hours. In addition,a written report shall be submitted to the Department within seven days following the ...event. (1)Events reported...
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include the following: (C)Any incident...that threatens the physical, emotional health or safety of any child.This requirement has not been met as evidenced by:Facility falied to report fight to licensing which poses an potential risk to the health,safety or personal rights 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 Johnson
LICENSING EVALUATOR NAME:Christina Watts
LICENSING EVALUATOR SIGNATURE:
DATE: 05/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/09/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/09/2024 03:53 PM - It Cannot Be Edited


Created By: Christina Watts On 05/09/2024 at 02:43 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: SUNNYBROOK LEARNING CENTER
FACILITY NUMBER: 073402991

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/09/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/20/2024
Section Cited

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101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (3)To be free from...infliction of pain...This requirement has not been met as evidenced by: Based on interviews, the licensee did not comply with the section cited above...
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...when staff did not prevent children from being hurt or injured which poses an potential risk to the health, safety or personal rights 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 Johnson
LICENSING EVALUATOR NAME:Christina Watts
LICENSING EVALUATOR SIGNATURE:
DATE: 05/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/09/2024


LIC809 (FAS) - (06/04)
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