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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434400416
Report Date: 03/06/2024
Date Signed: 03/06/2024 03:31:09 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
03/05/2024 and conducted by Evaluator Marilou Monico
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240305112920
FACILITY NAME:KINDERLAND CHILD DEVELOPMENT CENTERFACILITY NUMBER:
434400416
ADMINISTRATOR:SOLOMON, SHULAMITFACILITY TYPE:
850
ADDRESS:10352 NORTH STELLING ROADTELEPHONE:
(408) 861-0160
CITY:CUPERTINOSTATE: CAZIP CODE:
95014
CAPACITY:75CENSUS: 40DATE:
03/06/2024
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Shulamit Solomon & Natan SolomonTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Facility is operating out of ratio
Broken toys at facility present a hazard
Children are co-mingled
Staff did not provide napping equipment for children
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Marilou Monico met with Shulamit Solomon, Site Director, and Natan Solomon, Owner, for an unannounced complaint inspection. LPA discussed the complaint allegations with Shulamit. LPA conducted observations, toured the indoor and outdoor areas of the facility, interviewed staff and children, and reviewed staff files during today's investigation. LPA obtained copy of children's roster.

LPA observed a teacher supervising 14 children in Room 4. A staff (S-3) who is missing .5 quarter unit related to infant care was alone supervising a child who is under 2 years old in the toddler option room (Room 1). LPA observed broken building blocks with sharp edges in the crates located in the playground. Based on interviews, the children in the toddler option (Room 1) were observed commingling with the preschool children (Room 2) in the toddler yard. The children in Room 4 lay down on the floor carpet during quiet time without a cot or mat. Based on interviews, records review, and observations, the preponderance of evidence standard has been met, therefore the above allegations are SUBSTANTIATED.
NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2024
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 5
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
03/05/2024 and conducted by Evaluator Marilou Monico
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240305112920

FACILITY NAME:KINDERLAND CHILD DEVELOPMENT CENTERFACILITY NUMBER:
434400416
ADMINISTRATOR:SOLOMON, SHULAMITFACILITY TYPE:
850
ADDRESS:10352 NORTH STELLING ROADTELEPHONE:
(408) 861-0160
CITY:CUPERTINOSTATE: CAZIP CODE:
95014
CAPACITY:75CENSUS: 40DATE:
03/06/2024
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Shulamit SolomonTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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2
3
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9
Staff are not supervising children at all times
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Marilou Monico met with Shulamit Solon, Site Director, and Natan Solomon, Owner, for an unannounced complaint inspection. LPA discussed the complaint allegation with Shulamit. LPA conducted observations, toured the indoor and outdoor areas of the facility, interviewed staff and children, and reviewed staff files during today's investigation. LPA obtained copy of children's roster.

Based on interviews and observations, it is concluded that although the allegations noted on this complaint may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur. The allegation is UNSUBSTANTIATED.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 07-CC-20240305112920
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: KINDERLAND CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 434400416
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/06/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/11/2024
Section Cited
HSC
1596.955(a)(3)
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Child day care centers serving preschool age children; optional program - A ratio of six children to each teacher is maintained for all children in attendance at the toddler program. An aide who is participating in on-the-job training may be substituted for a teacher when directly supervised by a fully qualified teacher.
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Site Director states that by 03/11/24 she will submit proof of enrollment in a class related to infant care for S-3 and a written plan to ensure that the facility complies with the teacher-child ratio at all times.
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This requirement was not met as evidenced by: A staff (S-3) who is missing .5 quarter unit related to infant care was left supervising a child who is under 2 years old in Room 1 (toddler option room). This poses a potential risk to the health, safety, and personal rights, to children in care.
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Type B
03/11/2024
Section Cited
HSC
1596.955(a)(5)
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Child day care centers serving preschool age children; optional program - The toddler program is conducted in areas separate from those used by older or younger children. Plans to alternate use of outdoor play space may be approved to achieve separation.
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Site Director states that by 03/11/24, she will submit a written plan to ensure that the toddler option children will not be commingling with the preschool children at any time.
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This requirement was not met as evidenced by: The children in the toddler option program were commingling with the preschool children in the toddler option yard. This poses a potential risk to the health, safety, and personal rights to 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.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 07-CC-20240305112920
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: KINDERLAND CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 434400416
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/06/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/11/2024
Section Cited
CCR
101239(m)(1)
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Fixtures, Furniture, Equipment and Supplies -
The licensee shall provide a variety of age-appropriate equipment, toys and materials in good condition and in sufficient quantity to allow children present to fully participate in planned activities.
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Site Director disposed the broken building blocks during the inspection.

Deficiency corrected.
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This requirement was not met as evidenced by: LPA observed broken building blocks with sharp edges in the crates located in the playground. This poses a potential risk to the health, safety, and personal rights to children in care.
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Type B
03/11/2024
Section Cited
CCR
101223(a)(2)
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Personal Rights - The licensee shall ensure that each child is accorded the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
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By 03/11/24, Site Director states that she will submit a written plan to ensure that children are provided with cots or mats during quiet time.
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This requirement was not met as evidenced by: The children lay down on the floor carpet during quiet time without a cot or mat. This poses a potential risk to the health, safety, or personal rights to 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.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 07-CC-20240305112920
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: KINDERLAND CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 434400416
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/06/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/07/2024
Section Cited
CCR
101216.3(a)
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Teacher-Child Ratio - There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance.

This requirement was not met as evidenced by:
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Site Director states that she will submit by 03/07/24 a written plan to ensure that the facility complies with the teacher-child ratio requirement at all times.
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A teacher was alone supervising 14 children in Room 4 when the assistant teacher left the classroom. This poses an immediate risk to the health, safety, and personal rights to children in care.

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Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.
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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.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5