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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434410589
Report Date: 08/31/2023
Date Signed: 08/31/2023 05:44:31 PM

Unsubstantiated


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
07/26/2023 and conducted by Evaluator Michael Mathew
COMPLAINT CONTROL NUMBER: 52-CC-20230726104851
FACILITY NAME:KINDERPLEX @ THE WETLANDSFACILITY NUMBER:
434410589
ADMINISTRATOR:ALYSIA GONZALESFACILITY TYPE:
850
ADDRESS:3801 EAST BAYSHORETELEPHONE:
(650) 605-9500
CITY:PALO ALTOSTATE: CAZIP CODE:
94303
CAPACITY:62CENSUS: 30DATE:
08/31/2023
UNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Teresa Chavez-DelgadoTIME COMPLETED:
05:58 PM
ALLEGATION(S):
1
2
3
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5
6
7
8
9
Licensee does not ensure kitchen appliances are in good repair
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 8/31/23 at, 2:40 PM Licensing Program Analyst (LPA) Michael Mathew conducted an unannounced inspection to conclude a complaint investigation and completed a COVID-19 pre-screening questions prior to entering the facility. LPA met with Director Teresa Chavez-Delgado and advised her the purpose of the inspection. Director provided LPA a tour of the facility inside and out. There were children and 8 staff in care at the time of the inspection.

Allegation: Licensee does not ensure kitchen appliances are in good repair. During the investigation, LPA interviewed staff members, parents, and reporting party. Based on interviews conducted, file reviews, and observations. LPA observed a ticket system to where facility can fix broken appliance. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore, the allegation is UNSUBSTANTIATED.

A notice of site visit and appeal rights were given. Exit interview conducted and report was reviewed with Director Teresa Chavez-Delgado
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Michael Mathew
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023
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 5
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
07/26/2023 and conducted by Evaluator Michael Mathew
COMPLAINT CONTROL NUMBER: 52-CC-20230726104851

FACILITY NAME:KINDERPLEX @ THE WETLANDSFACILITY NUMBER:
434410589
ADMINISTRATOR:ALYSIA GONZALESFACILITY TYPE:
850
ADDRESS:3801 EAST BAYSHORETELEPHONE:
(650) 605-9500
CITY:PALO ALTOSTATE: CAZIP CODE:
94303
CAPACITY:62CENSUS: 30DATE:
08/31/2023
UNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Teresa Chavez-DelgadoTIME COMPLETED:
05:58 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not taking proper measures to prevent communicable disease from spreading at the facility.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 8/31/23 at, 2:40 PM Licensing Program Analyst (LPA) Michael Mathew conducted an unannounced inspection to conclude a complaint investigation and completed a COVID-19 pre-screening questions prior to entering the facility. LPA met with Director Teresa Chavez-Delgado and advised her the purpose of the inspection. Director provided LPA a tour of the facility inside and out. There were 30 children and 8 staff in care at the time of the inspection.

Allegation: Staff are not taking proper measures to prevent communicable disease from spreading at the facility. During the investigation, LPA interviewed staff members, parents, and reporting party. Based on interviews conducted file reviews, and observations, LPA observed a UIR which the facility submitted of children that were sick. Based on interview facility does clean and sanitized toys and furniture in classrooms daily, Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore, the allegation is UNSUBSTANTIATED.
A notice of site visit and appeal rights were given. Exit interview conducted and report was reviewed with Director Teresa Chavez-Delgado
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Michael Mathew
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023
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
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
07/26/2023 and conducted by Evaluator Michael Mathew
COMPLAINT CONTROL NUMBER: 52-CC-20230726104851

FACILITY NAME:KINDERPLEX @ THE WETLANDSFACILITY NUMBER:
434410589
ADMINISTRATOR:ALYSIA GONZALESFACILITY TYPE:
850
ADDRESS:3801 EAST BAYSHORETELEPHONE:
(650) 605-9500
CITY:PALO ALTOSTATE: CAZIP CODE:
94303
CAPACITY:62CENSUS: 30DATE:
08/31/2023
UNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Teresa Chavez-DelgadoTIME COMPLETED:
05:58 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are operating out of ratio
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 8/31/23 at, 2:40 PM Licensing Program Analyst (LPA) Michael Mathew conducted an unannounced inspection to conclude a complaint investigation and completed a COVID-19 pre-screening questions prior to entering the facility. LPA met with Director Teresa Chavez-Delgado and advised her the purpose of the inspection. Director provided LPA a tour of the facility inside and out. There were 30 children and 8 staff in care at the time of the inspection.

Allegation: Staff are operating out of ratio has been SUBSTANTIATED. Based on LPAs interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation of the facility operated out of ratio is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1, Article 06, Section: 101216.3(a) Teacher-Child Ratio, are being cited on the attached LIC 9099D.
A notice of site visit and appeal rights were given. Exit interview conducted and report was reviewed with Director Teresa Chavez-Delgado

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Michael Mathew
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023
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 5
Control Number 52-CC-20230726104851
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: KINDERPLEX @ THE WETLANDS
FACILITY NUMBER: 434410589
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/31/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/14/2023
Section Cited
CCR
101216.3(a)
1
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7
101216/3(a) Teacher-Child Ratio: There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance.

This requirement is not met as evidenced by:
1
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3
4
5
6
7
Director agreed to sent LPA a letter on how facility keeps ratio at the facility by end of day 9/14/23
8
9
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12
13
14
Based on interviews with staff, the facility did not comply with the section cited above as the facility operated out of ratio which poses a potential health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14
1
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3
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5
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7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
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5
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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.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Michael Mathew
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 5
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
07/26/2023 and conducted by Evaluator Michael Mathew
COMPLAINT CONTROL NUMBER: 52-CC-20230726104851

FACILITY NAME:KINDERPLEX @ THE WETLANDSFACILITY NUMBER:
434410589
ADMINISTRATOR:ALYSIA GONZALESFACILITY TYPE:
850
ADDRESS:3801 EAST BAYSHORETELEPHONE:
(650) 605-9500
CITY:PALO ALTOSTATE: CAZIP CODE:
94303
CAPACITY:62CENSUS: 30DATE:
08/31/2023
UNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Teresa Chavez-DelgadoTIME COMPLETED:
05:58 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff allow children with clear signs of illness to be cared for at the facility
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 8/31/23 at, 2:40 PM Licensing Program Analyst (LPA) Michael Mathew conducted an unannounced inspection to conclude a complaint investigation and completed a COVID-19 pre-screening questions prior to entering the facility. LPA met with Director Teresa Chavez-Delgado and advised her the purpose of the inspection. Director provided LPA a tour of the facility inside and out. There were 30 children and 8 staff in care at the time of the inspection.

Allegation: Staff allow children with clear signs of illness to be cared for at the facility During the investigation, LPA interviewed staff members, parents, and reporting party. Based on interviews conducted file reviews, and observations, based on interview facility does accept children with slight symptoms, LPA reviewed parents’ handbook which describes the process of when a child is sick. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore, the allegation is UNSUBSTANTIATED.
A notice of site visit and appeal rights were given. Exit interview conducted and report was reviewed with Director Teresa Chavez-Delgado
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Michael Mathew
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 5 of 5