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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434408036
Report Date: 01/31/2024
Date Signed: 01/31/2024 11:47:54 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/29/2024 and conducted by Evaluator Melanie Otsuji
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20240129102355
FACILITY NAME:AMES CHILD CARE CENTERFACILITY NUMBER:
434408036
ADMINISTRATOR:LAM, HENRYFACILITY TYPE:
830
ADDRESS:BLDG. 270 R.T. JONES ROADTELEPHONE:
(650) 604-5100
CITY:MOFFETT FIELDSTATE: CAZIP CODE:
94035
CAPACITY:52CENSUS: 27DATE:
01/31/2024
UNANNOUNCEDTIME BEGAN:
09:03 AM
MET WITH:Thao NguyenTIME COMPLETED:
11:55 AM
ALLEGATION(S):
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- Staff is mishandling the daycare children while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Melanie Otsuji arrived to the facility unannounced to conduct an initial inspection into the above allegation. LPA met with Director, Thao "Kryssie" Nugyen. Also present during today's visit were 12 additional staff members and 27 infant aged children.

During the course of the investigation LPA conducted observations, record reviews and conducted interviews. Interviews stated there was at least one incident where S1 was observed to hit a child's hand in response to not following directions. Based on LPAs observations and record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Health and Safety Code 1596.80 is being cited on the attached LIC. 9099D.

An exit interview and report reviewed with Director, Thao Nguyen.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2024
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 52-CC-20240129102355
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: AMES CHILD CARE CENTER
FACILITY NUMBER: 434408036
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/31/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/23/2024
Section Cited
CCR
101223(a)(3)
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To be free from corporal or unusual punishment, infliction of pain, humiliation...or other actions of a punitive nature including but not limited to...

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Director is to hold an in person all staff meeting with all teachers within the infant component. Personal Rights training must be a topic. Additionally, employee expectations memo regarding how staff are expected to treat children to be provided and signed by employees.
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This requirement is not being met as evidence by: Director stated that S1 was
observed to hit a child's hand and telling the child to stop what they were doing. This poses a potential risk to the health and safety to the children in care.
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Copy of employee expectations memo with staff signatures and then signatures of staff in attendance of the training along with agenda topics to be submitted to LPA no later than 2/23/2024.
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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: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/29/2024 and conducted by Evaluator Melanie Otsuji
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20240129102355

FACILITY NAME:AMES CHILD CARE CENTERFACILITY NUMBER:
434408036
ADMINISTRATOR:LAM, HENRYFACILITY TYPE:
830
ADDRESS:BLDG. 270 R.T. JONES ROADTELEPHONE:
(650) 604-5100
CITY:MOFFETT FIELDSTATE: CAZIP CODE:
94035
CAPACITY:52CENSUS: 27DATE:
01/31/2024
UNANNOUNCEDTIME BEGAN:
09:03 AM
MET WITH:Thao NguyenTIME COMPLETED:
11:55 AM
ALLEGATION(S):
1
2
3
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5
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9
Staff speaks inappropriately towards the daycare children
INVESTIGATION FINDINGS:
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5
6
7
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9
10
11
12
13
Licensing Program Analyst (LPA) Melanie Otsuji arrived to the facility unannounced to conduct an initial inspection into the above allegation. LPA met with Director, Thao "Kryssie" Nugyen. Also present during today's visit were 12 additional staff members and 27 infant aged children.

During the course of the investigation LPA conducted observations, record reviews and conducted interviews. Interviews stated there was at least one incident where S1 was observed talking inappropriately to a child in care. Based on LPAs observations and record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Health and Safety Code 1596.80 is being cited on the attached LIC. 9099D.

An exit interview and report reviewed with Director, Thao Nguyen.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3