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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073405654
Report Date: 01/30/2024
Date Signed: 01/30/2024 04:24:45 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, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/29/2023 and conducted by Evaluator Nyeesha Blount
COMPLAINT CONTROL NUMBER: 02-CC-20231129141840
FACILITY NAME:PATTY'S PINOLE CHILD CAREFACILITY NUMBER:
073405654
ADMINISTRATOR:SALINAS, PATTYFACILITY TYPE:
840
ADDRESS:1224 PINOLE VALLEY RD.TELEPHONE:
(510) 776-9631
CITY:PINOLESTATE: CAZIP CODE:
94564
CAPACITY:45CENSUS: DATE:
01/30/2024
UNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:SALINAS, ROBERTOTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Personal Rights ~ Children taken offsite by staff.
INVESTIGATION FINDINGS:
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On January 30, 2023 at 3:15PM Licensing Program Analyst (LPA) Nyeesha Blount, conducted an Unannounced Complaint site inspection to deliver complaint findings. LPA met with Director Salinas, Roberto who are background cleared. LPA advised Director of the nature of the inspection. Current Census today is 23 children which consists of (23) schoolage children. LPA obtained a copy of the children's current roster, observations and staff interviews were conducted at the time of the inspection.

During the investigation LPA conducted interviews. Based on interviews conducted, children have been transported without vehicle restraints. (2) children stated that were transported in the van stated they had safety restraints while driving to destination but no safety restraints while returning to the facility.

Based on LPA's observations 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, 101225(d) is being cited on the attached LIC 9099 D. California Law States that children 8 years old or 80 pounds are allowed to use seat belts. All others are required to be in the proper booster seats or car seats.
Substantiated
Estimated Days of Completion: 90
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Nyeesha BlountTELEPHONE: (510) 566-2319
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2024
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-20231129141840
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: PATTY'S PINOLE CHILD CARE
FACILITY NUMBER: 073405654
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/30/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/30/2024
Section Cited
CCR
101225(d)
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Transportation. All vehicle occupants shall be secured in an appropriate restraint system.

This requirement was not met as evidenced by;

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Director will submit a written statement to LPA advising the safety of transporting children utilizing safety restraints at all times to ensure there are no future incidents by POC date of January 31, 2024.
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which poses an immediate risk to the health and safety of the children in care. Children stated they had safety restraints while traveling to destination but did not when returning the facility.
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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: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Nyeesha BlountTELEPHONE: (510) 566-2319
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2024
LIC9099 (FAS) - (06/04)
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