434409651-12-7-2023-52-CC-CCHS-CYJRHB-20231215120205

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434409651
Report Date: 12/07/2023
Date Signed: 12/07/2023 11:14:55 AM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 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
10/24/2023 and conducted by Evaluator Christina Uribe

PUBLIC

COMPLAINT CONTROL NUMBER: 52-CC-20231024121205

FACILITY NAME:	MACWILLIAMS, VIRGINIA		FACILITY NUMBER:	434409651
ADMINISTRATOR:	MACWILLIAMS, VIRGINIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(650) 961-8577
CITY:	MOUNTAIN VIEW	STATE: CA	ZIP CODE:	94041
CAPACITY:	14	CENSUS: 8	DATE:	12/07/2023
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Virginia MacWilliams		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Licensee is operating over capacity

INVESTIGATION FINDINGS:

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On 12/07/2023 at 9:15am, Licensing Program Analyst (LPA) Christina Uribe conducted an unannounced visit for the purpose of investigating a complaint regarding the above allegation of a capacity violation and met with licensee, Virginia MacWilliams. Also present at the time of today’s inspection was the licensee's fingerprint cleared assistants (Nicole Cadenas & Nataly Martinez) and 8 children.

Based on evidence received which was reviewed, the preponderance of evidence standard has been met, therefore the above allegation that the licensee is operating over capacity is SUBSTANTIATED.California Code of Regulations, Title 22, Division 12, Chapter 1, Article 06, Section 102416.5(d)(1) - Staffing Ratio & Capacity is being cited on the attached LIC 9099D. LPA Uribe informed licensee, Virginia MacWilliams that this report dated 12/07/2023 documents 1 Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk to the health, safety, or personal rights of children in care.
Page 1 of 2 ***Continued on LIC 9099C***

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Christina Uribe	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023

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-20231024121205

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: MACWILLIAMS, VIRGINIA	FACILITY NUMBER: 434409651
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/07/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 12/08/2023 Section Cited CCR 102416.5((d)(1)	1 2 3 4 5 6 7	102416.5 - Staffing Ratio & Capacity: (d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home shall be twelve children, no more than four of whom may be infants.	1 2 3 4 5 6 7	Licensee will call children's parents to have them come pick up their children until capacity requirement is met with no more than 4 infants in care today. Licensee will also watch the "How Many Children Can Attend a Family Child Care Home" Training Video on the CCLD website. Licensee will create a
	8 9 10 11 12 13 14	This regulation was not met as evidenced by: The licensee is over capacity as there are 8 children in care today 7 of whom are under the age of 2 years resulting in an immedaite risk to the health, safety, or personal rights to children in care.	8 9 10 11 12 13 14	written statement stating that she has watched this training video and how she will plan on meeting capacity requirements in the future. Licensee will email this written statement to LPA Uribe at christina.uribe@dss.ca.gov no later than the due date of 12/08/23 at 12:00pm.
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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: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Christina Uribe	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 52-CC-20231024121205

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: MACWILLIAMS, VIRGINIA	FACILITY NUMBER: 434409651
	VISIT DATE: 12/07/2023

NARRATIVE

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Also, LPA Uribe informed the licensee to provide a copy of this licensing report dated 12/07/2023 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Report was reviewed and a notice of site visit was given and must remain posted for 30 days. Appeal rights were given. Exit interview was conducted with licensee, Virginia MacWilliams.

Page 2 of 2 ***End of Report***

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Christina Uribe	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023

LIC9099 (FAS) - (06/04)

Page: 3 of 3