384002350-3-9-2021-05-CC-GLEG-BYZ2WR-20210310164559

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 384002350
Report Date: 03/09/2021
Date Signed: 03/09/2021 02:25:34 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
12/11/2020 and conducted by Evaluator Farhan Bashir-Tariq

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20201211144427

FACILITY NAME:	UCSF KIRKHAM CDC (PS)		FACILITY NUMBER:	384002350
ADMINISTRATOR:	NANCY TRINH COSTANTIELLO		FACILITY TYPE:	850
ADDRESS:	10 KIRKHAM STREET		TELEPHONE:	(415) 664-1217
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94143
CAPACITY:	93	CENSUS: 64	DATE:	03/09/2021
		UNANNOUNCED	TIME BEGAN:	01:42 PM
MET WITH:	Nancy Costantiello		TIME COMPLETED:	01:52 PM

ALLEGATION(S):

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Day care child's parent is not allowed to enter and inspect the facility without advance notice.

INVESTIGATION FINDINGS:

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***** This report was prepared in CCLD Regional Office, San Bruno on 3/9/21. This inspection was conducted via phone call due to COVID-19. Director was informed that a copy of today’s report will be emailed to her *****

Licensing Program Analyst (LPA), Farhan Bashir-Tariq called and spoke to Director, Nancy Costantiello to deliver the findings of this complaint investigation on 3/9/21. Purpose of inspection was explained. During the course of investigation, interviews were conducted with Director. As part of this investigation, Parents handbook and copies of email communications between facility staff and parents, were collected. It was established after completing investigation that facility failed to accommodate parents in accordance with parents rights. Parents were not allowed to enter the facility without advance notice.

Based on records review and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D.”).

Type B deficiency is being cited on the following page. This report must be available in the facility for public review. Facility was advised to call office for any additional questions, M-F, 8AM-5PM at 650-266-8800. Website: www.cdss.ca.gov

Substantiated

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: 03/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2021

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-20201211144427

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: UCSF KIRKHAM CDC (PS)	FACILITY NUMBER: 384002350
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/09/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 03/24/2021 Section Cited HSC 1596.857(a)	1 2 3 4 5 6 7	1596.857...Rights of parent or guardian to inspect facility without advance notice. (a)...Upon presentation of identification, the responsible parent or guardian of a child receiving services in a child day care facility has the right to enter and inspect the facility without advance notice during the normal operating hours of the facility or at any time that the child is receiving services in the facility. Parents or guardians when inspecting shall be respectful of the children's routines and programmed activities. The facility shall inform parents and guardians of children receiving services in the facility of the right of the parents and guardians to inspect the facility pursuant to this section.	1 2 3 4 5 6 7	Facility shall develop a plan to allow parents to inspect the facility during childcare hours without advance notice. Facility shall work with parents to develop a plan acceptable by all parties. Plan should include compliance with State and Local Public Health COVID-19 guidelines.
	8 9 10 11 12 13 14	This requirement is not met as evidenced by records review and interviews; facility failed to allow entry to parents to inspect the facility. This poses a potential health and safety risk to the children in care.	8 9 10 11 12 13 14	Facility shall also submit this plan to LPA via email by due date of 3/24/21.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Farhan Bashir-Tariq	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2021

LIC9099 (FAS) - (06/04)

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