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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 274408753
Report Date: 01/09/2024
Date Signed: 01/09/2024 01:22:33 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/29/2023 and conducted by Evaluator Elizabeth Larios
COMPLAINT CONTROL NUMBER: 07-CC-20231229082636
FACILITY NAME:KIDS AT PLAYFACILITY NUMBER:
274408753
ADMINISTRATOR:DENISE CARATTINIFACILITY TYPE:
830
ADDRESS:1441 CONSTITUTION BLVD. #151TELEPHONE:
(831) 769-8697
CITY:SALINASSTATE: CAZIP CODE:
93906
CAPACITY:16CENSUS: 5DATE:
01/09/2024
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Indya HawthoneTIME COMPLETED:
01:20 PM
ALLEGATION(S):
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Facility is not kept clean
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Elizabeth Larios conducted an unannouced inspection to deliver the complaint allegation listed above. LPA met with Teacher, Indya Hawthone and explained the purpose of today's visit.

Based on LPA interviews which were conducted, and indoor and outdoor tour, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Type B deficiency was cited on the attached LIC 9099-D.

Exit interview was conducted, where this report was reviewed and discussed with Indya Hawthone. A copy of this report was also provided. Appeal rights were given

====CONTINUE ON LIC 9099-C====
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Elizabeth LariosTELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2024
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 07-CC-20231229082636
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: KIDS AT PLAY
FACILITY NUMBER: 274408753
VISIT DATE: 01/09/2024
NARRATIVE
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A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED ON OR ADJACENT TO THE INTERIOR SIDE OF THE MAIN DOOR INTO THE FACILITY FOR 30 CONSECUTIVE DAYS.
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Elizabeth LariosTELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 07-CC-20231229082636
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: KIDS AT PLAY
FACILITY NUMBER: 274408753
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/09/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/16/2024
Section Cited
CCR
101238(a)
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101238 Buildings and Grounds
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.
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By POC 01/16/2024, Director will submit a written plan of when items will be fixed and send proof to Licensing once it is completed.
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This requirement was not met as evidenced by: Based on tour observation indoor and outdoor in the Infant Center, LPA observed broken toys and rusted swings outdoors that were not placed inaccessible to children in care. LPA also observed uneven walking surfaces and tree roots making it a tripping hazard to children in care. LPA also observed an old wood shade structure that is a health and safety concern. LPA observed rip mattresses in all infant cribs, two broken cribs, broken blinds, unsanitary carpet in crib area and in infant indoor playground structure, stains in walls & chip wall paint. This poses a potential risk to the health and safety of children 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: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Elizabeth LariosTELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3