073407406-11-5-2021-02-CC-SJON-C8UVDP-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):

1
2
3
4
5
6
7
8
9

Qualifications- Facility Staff are not Properly Trained.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

LPA Diana Campos met with Operations Manager Monica Barcena for a complaint investigation regarding the above allegation. Present during the investigation were 4 staff and 13 preschool children in care. During the course of the investigation, staff files and qualifications were reviewed. Review of records revealed a lapse in the mandated reporter training certificate renewal for at least 3 staff members.
Based on the LPA's observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met. Therefore, the above allegation is found to be SUBSTANTIATED.
See attached LIC 9099D.

A Notice of Site Visit was provided and must be posted for 30 days.

Substantiated

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)

Page: 2 of 6

Control Number 02-CC-20210811112036

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: KIDS FIRST ACADEMY	FACILITY NUMBER: 073407406
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/05/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 11/05/2021 Section Cited HSC 1596.8662	1 2 3 4 5 6 7	§1596.8662 Availability of information regarding detecting and reporting child abuse and neglect; training for mandated reporter who is licensed day care provider, administrator, or employee of a licensed child day care facility; proof of completion	1 2 3 4 5 6 7	This deficiency was corrected when all staff completed and provided proof of mandated reporter trainnig certificate in facility files.
	8 9 10 11 12 13 14	(b) (1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete... This requirement was not met as evidenced by: Lapse in manadated reporter trainnig certificates from 8/2020-8/2021. This poses a potential risk to the health and safety of children in care,	8 9 10 11 12 13 14
	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: 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 appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2021

LIC9099 (FAS) - (06/04)

Page: 3 of 6