073406632-4-20-2020-02-CC-SJON-BPRV8A-20200519161223

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 073406632
Report Date: 04/20/2020
Date Signed: 04/20/2020 01:40:22 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
03/05/2020 and conducted by Evaluator Monica Mathur

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20200305161450

FACILITY NAME:	CHILD DAY SCHOOL, LLC - LAFAYETTE		FACILITY NUMBER:	073406632
ADMINISTRATOR:	MARIA C. ASUNCION		FACILITY TYPE:	850
ADDRESS:	1049 STUART STREET		TELEPHONE:	(925) 284-7092
CITY:	LAFAYETTE	STATE: CA	ZIP CODE:	94549
CAPACITY:	83	CENSUS: 0	DATE:	04/20/2020
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Yvonne Sylvia		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Facility staff failed to meet child's toileting needs.

INVESTIGATION FINDINGS:

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On 04/20/20 Licensing Program Analyst (LPA) Monica Mathur conducted a Subsequent Complaint Investigation. Due to COVID-19 Shelter-in-Place mandate, LPA called Program Facilitator, Yvonne Sylvia to deliver the finding for the above allegation over the phone. During the course of the investigation the Department completed a physical plant inspection, reviewed facility, staff records, conducted interviews and obtained relevant documents. Based on the interviews and information obtained throughout the investigation, the allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. No deficiencies have been cited for this allegation. Exit interview conducted with Yvonne Sylvia.

Due to COVID-19 State of Emergency mandate, copy of the report was mailed to Yvonne Sylvia to obtain her signatures. Report to be signed and returned to Licensing office by 04/21/20.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 725-5998
LICENSING EVALUATOR NAME: Monica Mathur	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 04/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2020

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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