073404660-5-6-2019-02-CC-AEVS-BCUTH4-20190605144406

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 073404660
Report Date: 05/06/2019
Date Signed: 05/06/2019 12:28:51 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
04/25/2019 and conducted by Evaluator Belinda DeVall

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20190425133450

FACILITY NAME:	STAY AND PLAY PRESCHOOL		FACILITY NUMBER:	073404660
ADMINISTRATOR:	TORRES, LYNETTE		FACILITY TYPE:	850
ADDRESS:	771 GRIFFITH LANE		TELEPHONE:	(925) 516-6940
CITY:	BRENTWOOD	STATE: CA	ZIP CODE:	94513
CAPACITY:	21	CENSUS: 18	DATE:	05/06/2019
		UNANNOUNCED	TIME BEGAN:	10:20 AM
MET WITH:	Lynette Torres		TIME COMPLETED:	12:45 PM

ALLEGATION(S):

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Neglect/Lack of Supervision - Facility staff left daycare child in a dark room

INVESTIGATION FINDINGS:

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Licensing Program Analyst Belinda Devall arrived at 10:20 A.M. and met with Director Lynette Torres for the purpose of an UNANNOUNCED COMPLAINT INVESTGATION regarding the above allegation against the facility. During the course of investigation, interviews and observations were conducted.
On 05/06/2019 at 10:25 A.M., LPA Devall observed a napping daycare child without supervision of teacher. Director had just left the room to interact with another child in the next room and returned shortly to where the daycare child was napping. The napping room has curtains for the room to be dark and the door is open for entry. Interviews conducted has confirmed the observation of the LPA. Based on LPAs observations and interviews which were conducted, 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 number 1, are being cited on the attached LIC. 9099D. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and appeal rights were provided and discussed.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Anika Evans	TELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Belinda DeVall	TELEPHONE: (510) 725-7107
LICENSING EVALUATOR SIGNATURE:	DATE: 05/06/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 02-CC-20190425133450

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: STAY AND PLAY PRESCHOOL	FACILITY NUMBER: 073404660
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/06/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 05/28/2019 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	Responsibility for Providing Care and Supervision. No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall	1 2 3 4 5 6 7	Effective immediately the director shall ensure that children have supervision at all times. Staff shall receive training on supervision and watch the video on supervision at https://ccld.childcarevideos.org.
	8 9 10 11 12 13 14	include visual observation. This requirement was not met as evidence based upon observation of a daycare child napping without a teacher present and interviews that a child has been in a room without staff present.	8 9 10 11 12 13 14	All staff shall write a summary of what they learned from the video. Summaries and a written plan of action on how children will be properly supervised must be submitted analyst by 05/28/2019.
	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: Anika Evans	TELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Belinda DeVall	TELEPHONE: (510) 725-7107
LICENSING EVALUATOR SIGNATURE:	DATE: 05/06/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2019

LIC9099 (FAS) - (06/04)

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