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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073406697
Report Date: 01/06/2020
Date Signed: 01/06/2020 09:36:48 AM



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
12/17/2019 and conducted by Evaluator Melissa Guirit
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20191217105915
FACILITY NAME:KIDANGO - HOLBROOKFACILITY NUMBER:
073406697
ADMINISTRATOR:WRIGHT CARR, AIMEEFACILITY TYPE:
850
ADDRESS:3333 RONALD WAYTELEPHONE:
(925) 494-2700
CITY:CONCORDSTATE: CAZIP CODE:
94519
CAPACITY:65CENSUS: 9DATE:
01/06/2020
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Aimee Wright CarrTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Facility staff are allowing daycare child to be harmed by other daycare child.
INVESTIGATION FINDINGS:
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On 01/06/2020 at 8:30 AM, Licensing Program Analysts (LPAs), Melissa Guirit and Diana Campos arrived at the center for an unannounced complaint investigation regarding the above allegations. LPA met with Director, Aimee Carr-Wright. There were 9 preschoolers and 2 teachers in room 121 present during today's investigation.

During the course of the investigation, LPA conducted interviews and observations. Interviews with the staff and children revealed that a child in care has harmed other children in care. Although this has occured, staff are taking the proper steps in handling the situation. Director has provided a written statement of the Plan of Action that lists the steps being taken to assist the child's needs. Based on this information, the allegation is found to be supported by a preponderance of the evidence, and the complaint is substantiated. The California Code of Regulations Title 22, Division 12, Chapter 1, Article 06, section 101223(a)(1) is being cited on the attached 9099D.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Melissa GuiritTELEPHONE: (510) 622-2624
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2020
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-20191217105915
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: KIDANGO - HOLBROOK
FACILITY NUMBER: 073406697
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/06/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/05/2020
Section Cited
CCR
101223(a)(1)
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101223(a)(1)The licensee shall ensure that each child is accorded the following personal rights: To be accorded diginity in his/her personal relationships with staff and others.
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Director has agreed to provide an updated Plan of Action written statement sent into the LPA via mail, email, or fax by the POC due date on 02/05/2020.
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This was not met as evidenced by: Interviews conducted with staff and children. This poses a potential risk for the health and safety of children.
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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: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Melissa GuiritTELEPHONE: (510) 622-2624
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2