073405691-7-20-2020-02-CC-SJON-BT3MJ6-20200902093834

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 073405691
Report Date: 07/20/2020
Date Signed: 07/20/2020 05:30:47 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
07/16/2020 and conducted by Evaluator Cherie Acosta

COMPLAINT CONTROL NUMBER: 02-CC-20200716140829

FACILITY NAME:	LITTLE DIAMONDS PRESCHOOL		FACILITY NUMBER:	073405691
ADMINISTRATOR:	RODRIGUEZ, JEANETTE		FACILITY TYPE:	850
ADDRESS:	2015 ELKINS WAY SUITE A		TELEPHONE:	(925) 516-6619
CITY:	BRENTWOOD	STATE: CA	ZIP CODE:	94513
CAPACITY:	34	CENSUS: 12	DATE:	07/20/2020
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Amber Tennant		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Child left outside unsupervised

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Cherie Acosta contacted Director Amber Tennant by telephone in regards to the above allegation. A physical inspection was not conducted due to the COVID-19 pandemic.

The director confirmed that an incident occurred on 7/15/20 where a child was left on the play yard unsupervised. The incident occurred when children transitioned from outdoor play into the classroom. The teachers discovered the child was missing, the child was on the play yard unsupervised for 22 minutes.

This incident was self reported to Community Care Licensing by the director.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Cherie Acosta	TELEPHONE: (510) 622-1623
LICENSING EVALUATOR SIGNATURE:	DATE: 07/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2020

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-20200716140829

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: LITTLE DIAMONDS PRESCHOOL	FACILITY NUMBER: 073405691
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/20/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 07/21/2020 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	Responsibility for Providing Care and Supervision. The licensee shall provide care and supervision as necessary to meet the children's needs. No child(ren) shall be left without the supervision of a teacher at any	1 2 3 4 5 6 7	Director shall submit a copy of the written plan of action to Community Care Licensing (CCL) by 7/21/20. This is a zero tolerance violation. An immediate $500 is assessed today
	8 9 10 11 12 13 14	time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement was not met as evidenced by: a child was left on the play yard unsupervised which poses an immediate risk to the health and safety of children in care.	8 9 10 11 12 13 14	and $100 per day will be assessed until corrected. Subsequent zero tolerance violations are $1000 immediate civil penalty and $100 per day will be assessed 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: Sherelle Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Cherie Acosta	TELEPHONE: (510) 622-1623
LICENSING EVALUATOR SIGNATURE:	DATE: 07/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2020

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 02-CC-20200716140829

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: LITTLE DIAMONDS PRESCHOOL	FACILITY NUMBER: 073405691
	VISIT DATE: 07/20/2020

NARRATIVE

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The attached type A violation is cited today and must be corrected by the due date. Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. All parents/guardians must sign an acknowledgement form of proof of receiving this report (LIC 9224). The LIC 9224 must be placed in the child's file to be reviewed by licensing.

A $500.00 civil penalty is assessed today.

This report was reviewed with the director over the telephone. A copy of the report will be emailed to the director. The director agrees to sign and return the report to Community Care Licensing by 7/21/20

Director was provided a copy of the appeal right.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Cherie Acosta	TELEPHONE: (510) 622-1623
LICENSING EVALUATOR SIGNATURE:	DATE: 07/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2020

LIC9099 (FAS) - (06/04)

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