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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 213005253
Report Date: 11/03/2022
Date Signed: 11/03/2022 01:00:15 PM

Substantiated


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
10/14/2022 and conducted by Evaluator Hanson Leong
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20221014155954
FACILITY NAME:MARIN DAY SCHOOL - MILL VALLEY PRESCHOOLFACILITY NUMBER:
213005253
ADMINISTRATOR:DUMMITT,JOSEPHFACILITY TYPE:
850
ADDRESS:10 OLD MILL STREETTELEPHONE:
(415) 381-4206
CITY:MILL VALLEYSTATE: CAZIP CODE:
94941
CAPACITY:60CENSUS: 36DATE:
11/03/2022
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Joseph DummittTIME COMPLETED:
01:14 PM
ALLEGATION(S):
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- Staff allowed child with high fever to stay in the classroom with other children
- Staff allow children with a fever to return without a 24 hour fever free period
INVESTIGATION FINDINGS:
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On 11/3/2022, Licensing Program Analyst (LPA), Hanson Leong, made an unannounced conclusionary complaint visit to the Mill Valley Preschool. The LPA was granted entry by the Director, Joseph Dummitt. The LPA explained the purpose of the visit to the director. Guardian, the department's system for conducting background checks, has confirmed that all the individuals listed on the facility’s roster have been granted permission to work or be present in a childcare facility. The LPA observed seven staff members supervising thirty-six preschool children inside the facility. Children's capacity and ratio requirements were observed to be in compliance.

The LPA conducted interviews with members of the staff and children as part of the investigation, as well as collecting and reviewing relevant documents. According to the conclusions reached by the LPA, there was sufficient amount of evidence to indicate that the two complaints that were filed regarding the facility were valid., which were that staff allowed child with high fever to stay in the classroom with other children and staff allow children with a fever to return without a 24 hour fever free period. ***See Page 2 for continuation***
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson LeongTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2022
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 5
Control Number 05-CC-20221014155954
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: MARIN DAY SCHOOL - MILL VALLEY PRESCHOOL
FACILITY NUMBER: 213005253
VISIT DATE: 11/03/2022
NARRATIVE
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Continued, Page 2
Based on LPA interviews and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are founded to be substantiated.

Because the facility did not properly isolate a sick child, it will receive a Type-B violation for its failure to comply with the child care regulation.

The LPA has informed the director that a Plan of Correction would be provided for all Type B violations. This Plan of Correction will enable the director to correct the violation.



During the visit, the director corrected the deficiency by having a prepared statement and discussion with staff regarding the facility's failure to properly isolate a sick kid.

A Copy of Letter of Deficiency Citations was given to the licensee.

Appeal rights was discussed with the director

“The Notice of Site Visit” shall be posted for 30 days.

Failure to maintain postings as required, will result in an immediate $100 civil penalty.

A copy of this report, the “Notice of Site Visit” and the licensee's “Appeal Rights” were given to the director,

Exit interview conducted and report was reviewed with the Director, Joseph Dummitt.
SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson LeongTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 05-CC-20221014155954
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: MARIN DAY SCHOOL - MILL VALLEY PRESCHOOL
FACILITY NUMBER: 213005253
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/03/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/03/2022
Section Cited
CCR
101226.1a
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The licensee shall be responsible for ensuring that children with obvious symptoms of illness including, but not limited to, fever or vomiting, are not accepted.

This requirement is not met as evidenced by:
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The director will have a discussion with the staff on the state and company regulations requiring the immediate isolation of children who are ill while they are in the care of the staff, and they will prepare a statement that includes the topics that were discussed along with signatures.
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Based on interviews and record reviews, the licensee did not isolate the child immediately while they were ill, which poses a potential health and safety risk to persons in care.
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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: Daniel J OquendoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson LeongTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
10/14/2022 and conducted by Evaluator Hanson Leong
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20221014155954

FACILITY NAME:MARIN DAY SCHOOL - MILL VALLEY PRESCHOOLFACILITY NUMBER:
213005253
ADMINISTRATOR:DUMMITT,JOSEPHFACILITY TYPE:
850
ADDRESS:10 OLD MILL STREETTELEPHONE:
(415) 381-4206
CITY:MILL VALLEYSTATE: CAZIP CODE:
94941
CAPACITY:60CENSUS: 36DATE:
11/03/2022
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Joseph DummittTIME COMPLETED:
01:14 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
- Staff did not immediately notify child's authorized person of illness
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
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12
13
On 11/3/2022, Licensing Program Analyst (LPA), Hanson Leong, made an unannounced conclusionary complaint visit to the Mill Valley Preschool. The LPA was granted entry by the Director, Joseph Dummitt. The LPA explained the purpose of the visit to the director. Guardian, the department's system for conducting background checks, has confirmed that all the individuals listed on the facility’s roster have been granted permission to work or be present in a childcare facility. The LPA observed seven staff members supervising thirty-six preschool children inside the facility. Children's capacity and ratio requirements were observed to be in compliance.

The LPA conducted interviews with members of the staff and children as part of the investigation, as well as collecting and reviewing relevant documents. Based on the findings of the LPA, there was not enough evidence to prove the complaint that were made regarding the facility, which were that staff did not immediately notify child's authorized person of illness. ***See Page 2 for continuation***

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson LeongTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 05-CC-20221014155954
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: MARIN DAY SCHOOL - MILL VALLEY PRESCHOOL
FACILITY NUMBER: 213005253
VISIT DATE: 11/03/2022
NARRATIVE
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Continued, Page 2
Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

A copy of this report, and the “Notice of Site Visit” were given to the director

“The Notice of Site Visit” shall be posted for 30 days.

Failure to maintain postings as required, will result in an immediate $100 civil penalty.

Exit interview conducted and report was reviewed with the Director, Joseph Dummitt
SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson LeongTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5