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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 444408785
Report Date: 11/09/2022
Date Signed: 11/09/2022 02:56:52 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
11/02/2022 and conducted by Evaluator Cortney Nelson
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20221102150248
FACILITY NAME:CKC CHILDREN'S CENTERFACILITY NUMBER:
444408785
ADMINISTRATOR:ELISA BRIDGESFACILITY TYPE:
850
ADDRESS:8005 WINKLE AVENUETELEPHONE:
(831) 475-6587
CITY:SANTA CRUZSTATE: CAZIP CODE:
95065
CAPACITY:42CENSUS: DATE:
11/09/2022
UNANNOUNCEDTIME BEGAN:
01:06 PM
MET WITH:Tina Burcher & Noel ShermannTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Facility staff member is not qualified to be left alone with day care children.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Cortney Nelson, conducted an unannounced 10 day complaint investigation and met with the Site Director, Tina Burcher, and Executive Director, Noel Shermann. LPA conducted interviews with the staff present during today's visit.

LPA Nelson conducted interviews with staff, Site Director, & Executive Director, and reviewed pertinent documents, such as educational transcripts. Based on interviews and review of documents, the preponderance of evidence standard has been met, and therefore the above allegation is SUBSTANTIATED.

California Code of Regulations (Title 22, Division 12) are being cited on attached LIC9099-D.

***Report continued on LIC9099-C***
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney NelsonTELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2022
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 3
Control Number 07-CC-20221102150248
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: CKC CHILDREN'S CENTER
FACILITY NUMBER: 444408785
VISIT DATE: 11/09/2022
NARRATIVE
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Exit interview conducted and report was reviewed with the Executive Director, Noel Shermann.

As a result of today’s inspection, a deficiency was cited, see LIC9099-D.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney NelsonTELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 07-CC-20221102150248
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: CKC CHILDREN'S CENTER
FACILITY NUMBER: 444408785
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/09/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/18/2022
Section Cited
CCR
101216.1(c)(1)(A)
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101216.1 Teacher Qualifications and Duties (c) to be a fully qualified teacher, a teacher shall have one of the following: (1) Twelve-post secondary semester... units in early childhood education... (A)...shall include... child growth and development...child, family, community... and program/curriculum.
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The Executive Director will update all administrative positions to include the core twelve units if they are to cover teachers and three infant units for infant teachers. (For those without the core units upon hire, an exception request can be submitted to licensing indicating when the admin applicant will be fully qualified.)
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This requirement was not met as evidenced by:

The Preschool Program Director present at the facility was used as a fully qualified teacher even though she was missing child/family/community within the core twelve semester units which poses a potential risk to the health, safety, and personal rights of children in care.
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Copy of updated hiring requirements for Preschool Program Director will be submitted indicating the core twelve units for fully qualified teacher to the Department by 11/18/2022. Position should also highlight on experience needed as well as steps to obtain an exception request if needed.
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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: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney NelsonTELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3