073407406-11-5-2021-02-CC-SJON-C8UVDQ-20211117152104

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 073407406
Report Date: 11/05/2021
Date Signed: 11/05/2021 12:45:45 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
08/11/2021 and conducted by Evaluator Diana Campos

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20210811112036

FACILITY NAME:	KIDS FIRST ACADEMY		FACILITY NUMBER:	073407406
ADMINISTRATOR:	GUEVARA, AMELITA		FACILITY TYPE:	850
ADDRESS:	2430 WILLOW PASS RD., STE 111		TELEPHONE:	(925) 709-5437
CITY:	BAY POINT	STATE: CA	ZIP CODE:	94565
CAPACITY:	20	CENSUS: 13	DATE:	11/05/2021
		UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Monica Barcena		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Reporting Requirements - Staff not reporting suspected abuse

INVESTIGATION FINDINGS:

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LPA Diana Campos met with Operations Manager Monica Barcena for a complaint investigation regarding the above allegation. Present were 4 staff and 13 preschoolers in care. It was alleged that STAFF NOT REPORTING SUSPECTED ABUSE. During the course of the investigation, interviews were conducted, facility records reviewed. An incident occurred when staff noticed a bruise on a child's arm upon arrival. Staff notified child's parents and parents took child to seek medical attention. No concerns were reported by the physician. During the investigation reporting requirements were discussed. Based on the investigative findings, there was no evidence to determine whether or not suspected abuse happened. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur. Therefore, the allegation is unsubstantiated.

A SITE VISIT NOTICE WAS POSTED BY LICENSEE.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Diana Campos	TELEPHONE: (510) 873-6322
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2021

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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