213005161-2-20-2020-05-CC-GLEG-BM647U-20200225175142

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 213005161
Report Date: 02/20/2020
Date Signed: 02/20/2020 01:57:41 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
01/15/2020 and conducted by Evaluator Farhan Bashir-Tariq

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20200115143951

FACILITY NAME:	UNIVERSITY OF PLAY		FACILITY NUMBER:	213005161
ADMINISTRATOR:	BALLENGER, SYLVIA		FACILITY TYPE:	850
ADDRESS:	1055 LAS OVEJAS AVE RM#4		TELEPHONE:	(415) 499-0309
CITY:	SAN RAFAEL	STATE: CA	ZIP CODE:	94903
CAPACITY:	30	CENSUS: 27	DATE:	02/20/2020
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Sylvia Ballenger		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

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Staff are kissing children on their lips.

INVESTIGATION FINDINGS:

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Licensing Program Analyst, (LPA) Farhan Bashir- Tariq arrived at the facility unannounced and met with Director, Sylvia Ballenger. Purpose of the inspection was explained and is to deliver the finding of complaint investigation. Present, there were 27 children in care with 5 staff. Facility is operating in compliance to staff child ratio on this day. During the course of this investigation, LPA collected copies of personnel report, teacher’s schedule, children's roster, and facility's discipline policy. LPA interviewed staff, children, assistant director and director regarding the allegation above. After conducting interviews, inspections and the information obtained during the investigation, LPA did not receive an indication to support this allegation.

This agency has investigated the complaint alleging that staff is kissing children on their lips. Based on the information obtained, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

No deficiencies were cited on this day. A copy of this report was reviewed and left with Sylvia along with a notice of site visit which is to be posted for 30 days.

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: 02/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2020

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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