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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434416122
Report Date: 03/22/2022
Date Signed: 03/22/2022 04:35:51 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, 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
02/18/2022 and conducted by Evaluator Jonathan Williams
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20220218104702
FACILITY NAME:CHILDREN'S CENTER OF THE STANFORD COMMUNITY (CCSC)FACILITY NUMBER:
434416122
ADMINISTRATOR:SUSAN HOGANESFACILITY TYPE:
850
ADDRESS:140 COMSTOCK CIRCLETELEPHONE:
(650) 721-0101
CITY:STANFORDSTATE: CAZIP CODE:
94305
CAPACITY:164CENSUS: 109DATE:
03/22/2022
UNANNOUNCEDTIME BEGAN:
02:22 PM
MET WITH:Susan HoganesTIME COMPLETED:
04:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff caused injury to child in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 3/22/2022, Licensing Program Analysts (LPAs) Jonathan Williams and April Wright arrived to the facility unannounced to conclude investigation into the above allegation. LPAs were met by Director, Susan Hoganes. Present during today's visit were the Director, 29 fingerprint cleared staff members, and 109 preschool-aged children in care.

During the course of the investigation, LPA conducted interviews of current and former staff members, viewed videos, and reviewed facility records. Based on statement made during interviews, it was determined that a staff member caused an accidental injury (scratch) to a child in care. The preponderance of evidence standard has been met; therefore, the allegation is deemed SUBSTANTIATED.

Exit interview conducted. Appeal Rights provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jonathan Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 03/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2022
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 4
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
02/18/2022 and conducted by Evaluator Jonathan Williams
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20220218104702

FACILITY NAME:CHILDREN'S CENTER OF THE STANFORD COMMUNITY (CCSC)FACILITY NUMBER:
434416122
ADMINISTRATOR:SUSAN HOGANESFACILITY TYPE:
850
ADDRESS:140 COMSTOCK CIRCLETELEPHONE:
(650) 721-0101
CITY:STANFORDSTATE: CAZIP CODE:
94305
CAPACITY:164CENSUS: 109DATE:
03/22/2022
UNANNOUNCEDTIME BEGAN:
02:22 PM
MET WITH:Susan HoganesTIME COMPLETED:
04:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff restrained a child in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 3/22/2022, Licensing Program Analysts (LPAs) Jonathan Williams and April Wright arrived to the facility unannounced to conclude investigation into the above allegation. LPAs were met by Director, Susan Hoganes. Present during today's visit were, the Director, 29 fingerprint cleared staff members, and 109 preschool-aged children in care

During the course of the investigation, LPA conducted interviews of current and former staff members, viewed videos, and reviewed facility records. Based on review of video watched by LPA, it was determined that facility staff member physically restrained a child in care. The preponderance of evidence standard has been met; therefore, the allegation is deemed SUBSTANTIATED.

Exit interview conducted. Appeal Rights provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jonathan Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 03/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2022
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 4
Control Number 52-CC-20220218104702
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: CHILDREN'S CENTER OF THE STANFORD COMMUNITY (CCSC)
FACILITY NUMBER: 434416122
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/22/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/01/2022
Section Cited
CCR
101223(a)(3)
1
2
3
4
5
6
7
(3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature...

This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Director shall conduct staff training with all staff members and view CCLD videos regarding personal rights of children. Director shall submit a written plan detailing how teachers will be trained to manage behavior of children such that their personal rights are not violated.
8
9
10
11
12
13
14
Based on video viewed by LPA, it was determined that a facility staff member physically restrained a child in care. This poses an immediate risk to the health and safety of children in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
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: Jonathan Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 03/22/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 52-CC-20220218104702
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: CHILDREN'S CENTER OF THE STANFORD COMMUNITY (CCSC)
FACILITY NUMBER: 434416122
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/22/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/01/2022
Section Cited
CCR
101223(a)(3)
1
2
3
4
5
6
7
(3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature...

This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Director shall conduct staff training with all staff members and view CCLD videos regarding personal rights of children. Director shall submit a written plan detailing how teachers will be trained to manage behavior of children such that their personal rights are not violated.
8
9
10
11
12
13
14
Based on interview conducted by LPA, it was determined that a staff member caused an accidental injury to a child in care (scratch). This poses an immediate risk to the health and safety of children in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
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: Jonathan Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 03/22/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 4