410509197-4-8-2022-05-CC-GLEG-CDLVRM-20220418164008

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 410509197
Report Date: 04/08/2022
Date Signed: 04/08/2022 11:23:19 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
02/22/2022 and conducted by Evaluator Brendon Van

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20220222095634

FACILITY NAME:	PENINSULA TEMPLE SHOLOM PRESCHOOL		FACILITY NUMBER:	410509197
ADMINISTRATOR:	STECKLEY, ALLISON		FACILITY TYPE:	850
ADDRESS:	1655 SEBASTIAN DRIVE		TELEPHONE:	(650) 697-2279
CITY:	BURLINGAME	STATE: CA	ZIP CODE:	94010
CAPACITY:	164	CENSUS: 91	DATE:	04/08/2022
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Allison Steckley		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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-The Center refused to accept the children after receiving negative COVID-19 test results.
-The staff took the children's lunch away and did not provide substitute food.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPAs) Van and Leong conducted an unannounced subsequent complaint investigation to deliver the findings and met with the site Director, Allison Steckley. LPAs explained the purpose of the inspection and were granted entry to the facility by the staff. Present, 26 teachers are supervising 91 children. The facility is operating within the teachers/children ratio.

LPAs toured and inspected the facility for health and safety hazards. As part of this complaint investigation, the complainant, parents, and staff were interviewed; records and relevant information were obtained and reviewed. Regarding the allegation that the Center refused to accept children back after receiving negative COVID-19 test results. It was found that there were two separate occasions where the facility requested COVID test results from the family. The first was when children returned from Winter break, and the second request stemmed from a Social Media post where a parent posted that their children tested positive for COVID-19. The Center requested documentation and negative tests from the family, which according to Karen Wisialowski, Chief Community Officer, the Center never received. Based on interviews and facility COVID-19 Handbook Supplement. The facility implemented its COVID protocol/procedure in accordance with Local, State guidelines, and CDC recommendations.

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: 04/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2022

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-20220222095634

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: PENINSULA TEMPLE SHOLOM PRESCHOOL	FACILITY NUMBER: 410509197
	VISIT DATE: 04/08/2022

NARRATIVE

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Regarding the allegation that staff took children's lunch away. Interviews and records review revealed that parents are aware of the Center's lunch policy, which on the Parent's handbook informed parents that pork or shellfish products are not encouraged under the dietary laws of the Temple. The Center also required parents to sign an acknowledgment that they read and understand the Parent's Handbook and agreed to abide by all policies and procedures of the Center. The staff interview concluded that if the children's lunch contained any of the products mentioned above, the staff either has the children eat what they brought or bring it home. The staff mentioned that the Center always has substitute snacks available for children and would never let children go home hungry.

Although the above allegations may have happened or are valid, there is not a preponderance of evidence to prove the violation did or did not occur; therefore, these allegations are closed as Unsubstantiated.

An exit interview was conducted with the site Director, Allison Steckley. Today's report, 4/8/2022, and site visit notice will be sent to the site Director's email by the close of business on 4/8/2022. Confirmation of receipt is required, and a site visit notice must remain 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: 04/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2022

LIC9099 (FAS) - (06/04)

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