210105564-10-19-2022-05-CC-GLEG-CKHQDR-20221024120507

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 210105564
Report Date: 10/19/2022
Date Signed: 10/19/2022 10:54:30 AM

Unsubstantiated

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
08/10/2022 and conducted by Evaluator Brendon Van

COMPLAINT CONTROL NUMBER: 05-CC-20220810152056

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: 54	DATE:	10/19/2022
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Heather Freeman and Ruth Ann Newberry		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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-Day care child left in soiled diaper for an extended period of time resulting in blisters.
-Facility has inadequate staffing to meet day care children's needs.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Van and Leong conducted an unannounced inspection to finalize this complaint and delivery the findings to the Director. LPA met with the Assistant Director, Heather Freeman, and Site Director, Ruth Ann Newberry. The purpose of the inspection was explained, and entry to the Center was granted. 14 staff members supervised 54 children today. The teachers and children ratio was met.
As part of the investigation, LPA interviewed parents of children attending the Center and staff members and reviewed all pertinent documents. Based on the information obtained, the Center has designated individualized schedules in the classroom for children with diaper needs. It requires teachers to check the children's diapers according to the time slots, and teachers must log the time when a child's diaper is changed. In addition, the records review revealed that the Center had a sufficient teacher-to-children ratio in each classroom during the school year. Parents' interview confirmed the service and supervision at the Center are satisfactory. Their child was never picked up with soil or dirty diapers, and their children's diapers were always clean.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 10/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2022

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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Control Number 05-CC-20220810152056

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: NOAH'S ARK PRESCHOOL	FACILITY NUMBER: 210105564
	VISIT DATE: 10/19/2022

NARRATIVE

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The Department has investigated the above allegations. 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 allegations are Unsubstantiated.
An exit inspection was conducted with the Directors. A copy of the report was provided to the Directors at the conclusion of the inspection. LPA informed the Directors that the site visit notice must be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 10/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2022

LIC9099 (FAS) - (06/04)

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