<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073406638
Report Date: 01/31/2022
Date Signed: 01/31/2022 01:03:41 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
11/03/2021 and conducted by Evaluator Tasha Hackett-Alexander
COMPLAINT CONTROL NUMBER: 02-CC-20211103151650
FACILITY NAME:CHILD DAY SCHOOL, LLC - ANTIOCHFACILITY NUMBER:
073406638
ADMINISTRATOR:COLETTO, KATHYFACILITY TYPE:
850
ADDRESS:112 EAST TREGALLAS ROADTELEPHONE:
(925) 754-0144
CITY:ANTIOCHSTATE: CAZIP CODE:
94509
CAPACITY:92CENSUS: 38DATE:
01/31/2022
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:KATHY COLETTOTIME COMPLETED:
01:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not protect a child from hazardous equipment
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
11:30AM- LICENSING PROGRAM ANALYST TASHA ALEXANDER MET WITH CENTER DIRECTOR KATHY COLETTO TO DELIVER THE FINDINGS TO THE ABOVE COMPLAINT ALLEGATION.

UPON ARRIVAL THERE ARE 38 CHILDREN PRESENT ALONG WITH 9 STAFF. DURING THIS ANALYST'S LAST VISIT, AN INTERVIEW WAS CONDUCTED WITH MS. COLETTO, AN INSPECTION OF THE CLASSROOM WAS CONDUCTED AND DOCUMENTS WERE COLLECTED. FURTHER INVESTIGATION HAS BEEN CONDUCTED.

BASED ON LPAs OBSERVATIONS AND INTERVIEWS WHICH WERE CONDUCTED AND RECORD REVIEWS, 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
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Tasha Hackett-AlexanderTELEPHONE: (510) 292-9724
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 02-CC-20211103151650
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: CHILD DAY SCHOOL, LLC - ANTIOCH
FACILITY NUMBER: 073406638
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/31/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/14/2022
Section Cited
CCR
1012299(a)
1
2
3
4
5
6
7
101229 Responsibility for Providing Care and Supervision
a) The licensee shall provide care and supervision as necessary to meet the children's needs.
REQUIREMENT WAS NOT MET:
STAFF DID NOT PROTECT A CHILD FROM HAZARDOUS EQUIPMENT WHEN THE CHILD WAS ABLE TO CLIMB A STACK OF COTS IN THE CORNER OF THE CLASSROOM
1
2
3
4
5
6
7
FACILITY WILL ENSURE THAT ALL STAFF ARE SUPERVISING CHILDREN AT ALL TIMES, ESPECIALLY DURING CLASSROOM PARTIES. A REFRESHER TRAINING OF CHILD SUPERVISION WILL BE CONDUCTED WITH ALL STAFF. PROOF OF TRAINING AND ALL STAFF THAT ATTENDED WILL BE SUBMITTED TO COMMUNITY CARE LICENSING BY 2/14/22.
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
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: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Tasha Hackett-AlexanderTELEPHONE: (510) 292-9724
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2