073406634-1-25-2022-52-CC-JJAG-CBEPDT-20220207101404

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 073406634
Report Date: 01/25/2022
Date Signed: 01/25/2022 02:59:47 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 STE 1102
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/13/2021 and conducted by Evaluator Julia Placencia

COMPLAINT CONTROL NUMBER: 52-CC-20211213111915

FACILITY NAME:	CHILD DAY SCHOOL, LLC - SAN RAMON		FACILITY NUMBER:	073406634
ADMINISTRATOR:	VALDES, RUTH		FACILITY TYPE:	840
ADDRESS:	18868 BOLLINGER CANYON RD		TELEPHONE:	(925) 820-2515
CITY:	SAN RAMON	STATE: CA	ZIP CODE:	94583
CAPACITY:	20	CENSUS: 10	DATE:	01/25/2022
		UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Jillian Miller		TIME COMPLETED:	03:10 PM

ALLEGATION(S):

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Facility has falsified documents in staff files.

INVESTIGATION FINDINGS:

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On January 25, 2022 at 1:45pm, Licensing Program Analyst (LPA) Julia Placencia arrived unannounced to complete the complaint investigation regarding the allegation above. LPA met with director Jillian Miller. Present were 10 children and an additional 2 staff members. During the course of the investigation LPA interviewed director, former director Ruth Valdes and several teachers. It has been determined that in July 2020, EMSA approved CPR/First Aid cards were issued to staff without any training conducted. Former director admitted to LPA that she advised staff that training was not needed due to COVID and that training would be provided at a later date.

Based on observations, interviews and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, Title 22 is being cited on the attached LIC 9099D. Failure to submit Proof of Corrections (POC) by Plan of Correction date may result in additional civil penalties. Exit interview conducted with director Jillian Miller and copy of report provided. A Notice of Site Visit was provided and must be posted for 30 days.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Julia Placencia	TELEPHONE: (510) 725-5998
LICENSING EVALUATOR SIGNATURE:	DATE: 01/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2022

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 52-CC-20211213111915

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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: CHILD DAY SCHOOL, LLC - SAN RAMON	FACILITY NUMBER: 073406634
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/25/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 02/01/2022 Section Cited CCR 101163(a)	1 2 3 4 5 6 7	101163(a) False Claims - (a) No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the child care center or any of the services provided by the center.	1 2 3 4 5 6 7	Director will ensure she reviews this regulation and submit a statement of understanding. Additionally, director will ensure all invalid CPR/First Aid cards received in July 2020 are removed from staff files and are replaced with valid cards issued from an EMSA approved vendor after successful completion of course.
	8 9 10 11 12 13 14	This requirement is not met as evidenced by: Based on interviews and records review, EMSA approved CPR/First Aid cards were issued to staff without the required training. Former director advised staff that training was not needed due to COVID. This is a potential health and safety risk to children in care.	8 9 10 11 12 13 14	LPA may return on a later date to ensure compliance. Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day 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: Jason Jang	TELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Julia Placencia	TELEPHONE: (510) 725-5998
LICENSING EVALUATOR SIGNATURE:	DATE: 01/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2022

LIC9099 (FAS) - (06/04)

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