073408239-9-16-2022-02-CC-LDYN-CJFUGV-20220920153459

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 073408239
Report Date: 09/16/2022
Date Signed: 09/16/2022 12:06:31 PM

Unsubstantiated

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
07/27/2022 and conducted by Evaluator Tasha Hackett-Alexander

COMPLAINT CONTROL NUMBER: 02-CC-20220727153753

FACILITY NAME:	BUILDING KIDZ SCHOOL		FACILITY NUMBER:	073408239
ADMINISTRATOR:	KAREN NGUENTI		FACILITY TYPE:	830
ADDRESS:	5100 CLAYTON RD, F36		TELEPHONE:	(510) 557-8755
CITY:	CONCORD	STATE: CA	ZIP CODE:	94521
CAPACITY:	27	CENSUS: 6	DATE:	09/16/2022
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	KAREN NGUENTI		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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NEGLECT/LACK OF SUPERVISION- Lack of supervision that led to a child sustaining a 2nd degree burn

INVESTIGATION FINDINGS:

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LICENSING PROGRAM ANALYST MET TASHA CENTER DIRECTOR KAREN NGUENTI TO DELIVER THE FINDINGS TO THE ABOVE COMPLAINT ALLEGATIONS INVESTIGATED BY INVESTIGATOR BRIANNA ABEYTA. UPON ARRIVAL THERE ARE 6 INFANTS IN THE INFANT ROOM ALONG WITH 2 STAFF.

IN AUGUST 2022 A CHILD SUSTAINED AN UNEXPLAINED 2ND DEGREE BURN WHILE IN CARE. PER STAFF, THE INJURY MAY HAVE HAPPENED AT PLAYTIME, WHILE THE CHILD WAS ON THE PLAYGROUND. A FULL INVESTIGATION HAS BEEN CONDUCTED BY INVESTIGATOR ABEYTA.

ALTHOUGH THE ALLEGATION MAY HAVE HAPPENED OR IS VALID, THERE IS NOT A PREPONDERANCE OF EVIDENCE TO PROVE THE ALLEGED LACK OF SUPERVISION VIOLATION DID OR DID NOT OCCUR, THEREFORE THE ALLEGATION IS UNSUBSTANTIATED.

AN EXIT INTERVIEW WAS CONDUCTED. A NOTICE OF SITE VISIT WAS POSTED.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander	TELEPHONE: (510) 292-9724
LICENSING EVALUATOR SIGNATURE:	DATE: 09/16/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2022

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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