210105564-6-1-2020-05-CC-GLEG-BQ8V76-20200603161037

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 210105564
Report Date: 05/29/2020
Date Signed: 06/01/2020 03:56:27 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/06/2020 and conducted by Evaluator Farhan Bashir-Tariq

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20200306110551

FACILITY NAME:	NOAH'S ARK PRESCHOOL		FACILITY NUMBER:	210105564
ADMINISTRATOR:	RUTH ANN NEWBERRY		FACILITY TYPE:	850
ADDRESS:	1370 SOUTH NOVATO BOULEVARD		TELEPHONE:	(415) 892-8498
CITY:	NOVATO	STATE: CA	ZIP CODE:	94947
CAPACITY:	100	CENSUS: 8	DATE:	05/29/2020
		ANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Ruth Ann Newberry		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Lack of supervision resulting in day care child sustaining injuries.
Unsafe items used on the playground.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Farhan Bashir-Tariq conducted a subsequent complaint investigation inspection today and spoke to Director, Ruth Ann Newberry. This visit was carried out via phone call due to COVID-19. Purpose of inspection was explained and was to interview director regarding the allegations and deliver the findings of this complaint investigation. This was a follow up visit from previous visit of 3/11/20. On 3/11/20, LPA visited the preschool and interviewed members of staff.

As part of this investigation , LPA collected facility roster, teachers schedule, contact details of the parents and school's discipline policy. From the interviews that were conducted and the information collected during the investigation, LPA did not receive enough evidence to support the allegations above.

This agency has investigated the complaint alleging that child sustain injury due to lack of supervision while in day care and unsafe items on the playground . Based on the information obtained, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. This report must be available in the facility for public review.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Farhan Bashir-Tariq	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/29/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2020

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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