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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 075700215
Report Date: 12/01/2021
Date Signed: 12/01/2021 02:08:05 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 STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/11/2021 and conducted by Evaluator Julia Placencia
COMPLAINT CONTROL NUMBER: 52-CC-20211011121520
FACILITY NAME:KRANZ, ESMERALDAFACILITY NUMBER:
075700215
ADMINISTRATOR:KRANZ, ESMERALDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 872-5976
CITY:SAN RAMONSTATE: CAZIP CODE:
94583
CAPACITY:14CENSUS: 11DATE:
12/01/2021
UNANNOUNCEDTIME BEGAN:
12:55 PM
MET WITH:Esmeralda KranzTIME COMPLETED:
02:20 PM
ALLEGATION(S):
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Child was injured while in care
INVESTIGATION FINDINGS:
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On December 1, 2021 at 12:55pm, Licensing Program Analyst (LPA) Julia Placencia arrived unannounced to complete the complaint investigation regarding the allegation above. LPA met with licensee Esmeralda Kranz. Also present were helper Grace O’Connor and 11 children (4 infants and 7 preschoolers).

During the course of the investigation, LPA interviewed the reporting party (RP), licensee, and helper. It has been disclosed that while in the licensee’s care on 10/8/21, C1 was bit not once, but twice by another child in care on the same day. LPA observed photos which show C1 with swelling and visible bite marks of upper and lower teeth on both her right and left cheeks. LPA was told that neither licensee nor helper were aware the incident happened, however it likely happened during outside playtime inside the small “tunnel” where C1 and another child were playing. Per helper, she did not hear any signs of distress from any children, but observed what looked like a rash on C1’s cheeks as the children were getting ready to go back inside the house.

***Continued on LIC 9099C..
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Julia PlacenciaTELEPHONE: (510) 725-5998
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2021
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 3
Control Number 52-CC-20211011121520
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 STE 1102
OAKLAND, CA 94612
FACILITY NAME: KRANZ, ESMERALDA
FACILITY NUMBER: 075700215
VISIT DATE: 12/01/2021
NARRATIVE
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Although helper states she did not hear any cries from C1, helper should be positioned and walking around in a way for her to have visual supervision and observation of children in all areas of the play area, including inside the tunnel.

Based on observations, interviews and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, Title 22 is being cited on the attached LIC 9099D. Failure to submit Proof of Corrections (POC) by Plan of Correction date may result in additional civil penalties.

The attached type A violation is cited today and must be corrected by the due date. Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. All parents/guardians must sign an acknowledgement form of proof of receiving this report (LIC 9224). The LIC 9224 must be placed in each child's file to be reviewed by licensing.

Exit interview conducted with licensee Esmeralda Kranz and copy of report provided. Notice of Site Visit provided and must be posted for 30 days.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Julia PlacenciaTELEPHONE: (510) 725-5998
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 52-CC-20211011121520
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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: KRANZ, ESMERALDA
FACILITY NUMBER: 075700215
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/01/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/02/2021
Section Cited
CCR
102423(a)(2)
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Personal Rights -
To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.
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Licensee shall submit a written plan to licensing which details steps she will take to ensure that children in care do not violate each other's personal rights. Submit plan by POC date of 12/2/21.
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This requirement was not met as evidenced by: Based on observation and interviews, staff were unaware that C1 was bit on both her cheeks by another child in care, which poses an immediate health and safety risk to children in care.
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Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
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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: Jason JangTELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Julia PlacenciaTELEPHONE: (510) 725-5998
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3