010216109-5-30-2024-02-CC-MMEA-D5ZLHY-20240607084705

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 010216109
Report Date: 05/30/2024
Date Signed: 05/30/2024 03:19:48 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/08/2024 and conducted by Evaluator Tasha Hackett-Alexander

COMPLAINT CONTROL NUMBER: 02-CC-20240408085614

FACILITY NAME:	OAKLAND HEAD START - BROOKFIELD		FACILITY NUMBER:	010216109
ADMINISTRATOR:	ORURUO, VIVIAN		FACILITY TYPE:	850
ADDRESS:	9600 EDES AVENUE		TELEPHONE:	(510) 615-5737
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94603
CAPACITY:	48	CENSUS: 8	DATE:	05/30/2024
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	JOY CIRON		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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7
8
9

PERSONAL RIGHTS- Teacher handles child in a rough manner.

INVESTIGATION FINDINGS:

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13

On May 30, 2024 Licensing Program Analyst (LPA) Tasha Alexander met with center director Joy Ciron to deliver the findings to the above complaint allegation.

Upon arrival there are 8 preschool age children present along with 3 staff. On this analyst's last visit, indoor/outdoor activities were observed, records were reviewed and interviews were conducted with staff that were present.

Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations is found to be SUBSTANTIATED. The California Code of Regulations, Title 22, Division 12 & Chapter 1, are being cited on the attached LIC. 9099D.

The LIC 9224 Acknowledement of Receipt of Licensing Reports has been given and explained. A copy of this report must be given to each day care child's parent/guardian by the next business day,and the signed acknowledgement form must be put into their child's file. A copy must also be given to any newly enrolled child's parent/guardian for up to 1 year. This report must be posted at the facility for 30 days.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander	TELEPHONE: (510) 725-2831
LICENSING EVALUATOR SIGNATURE:	DATE: 05/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2024

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 4

Control Number 02-CC-20240408085614

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: OAKLAND HEAD START - BROOKFIELD	FACILITY NUMBER: 010216109
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/30/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 06/13/2024 Section Cited CCR 101223(a)(3)	1 2 3 4 5 6 7	101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (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 including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. THIS REQUIREMENT IS NOT MET AS EVIDENCED BY INTERVIEWS WHICH REVEALED THAT A STAFF MEMBER HANDLED A CHILD IN A ROUGH MANNER WHEN THE STAFF MEMBER	1 2 3 4 5 6 7	Licensee will conduct an all staff training on children's personal rights and how to deal with children with challenging behaviors. Licensee will submit a summary of the trainings conducted and a sign in sheet of all attendees by
	8 9 10 11 12 13 14	PUSHED A CHILD TO MOVE THE CHILD TO A DIFFERENT AREA, BECAUSE THE CHILD THREW SAND OVER A FENCE.	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.

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander	TELEPHONE: (510) 725-2831
LICENSING EVALUATOR SIGNATURE:	DATE: 05/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2024

LIC9099 (FAS) - (06/04)

Page: 4 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/08/2024 and conducted by Evaluator Tasha Hackett-Alexander

COMPLAINT CONTROL NUMBER: 02-CC-20240408085614

FACILITY NAME:	OAKLAND HEAD START - BROOKFIELD		FACILITY NUMBER:	010216109
ADMINISTRATOR:	ORURUO, VIVIAN		FACILITY TYPE:	850
ADDRESS:	9600 EDES AVENUE		TELEPHONE:	(510) 615-5737
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94603
CAPACITY:	48	CENSUS: 8	DATE:	05/30/2024
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	JOY CIRON		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Teacher falls asleep in the classroom while day care children are napping.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On May 30, 2024 Licensing Program Analyst (LPA) Tasha Alexander met with Site Supervisor Joy Ciron to deliver the findings to the above complaint allegation.

Upon arrival there are 8 preschool age children present along with 3 staff. On this analyst's last visit, indoor/outdoor activities were observed, records were reviewed and interviews were conducted with staff that were present.

Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations,Title 22, Division 12 & Chapter 1, are being cited on the attached LIC. 9099D

An exit interview was conducted. A notice of site visit was posted

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander	TELEPHONE: (510) 725-2831
LICENSING EVALUATOR SIGNATURE:	DATE: 05/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2024

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 02-CC-20240408085614

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: OAKLAND HEAD START - BROOKFIELD	FACILITY NUMBER: 010216109
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/30/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 06/13/2024 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation	1 2 3 4 5 6 7	Licensee will ensure that all staff that is assigned to supervise children at naptime, are awake and supervising children. Licensee will also conduct a staff training on child supervision and submit a summary of the training and a sign in sheet of all attendees by 6/13/24.
	8 9 10 11 12 13 14	THIS REQUIREMENT IS NOT MET AS EVIDENCED BY LPA OBSERVATION. UPON ARRIVAL INTO THE CENTER, LPA OBSERVED 1 STAFF MEMBER NAPPING DURING THE CHILDREN'S NAPTIME.	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.

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander	TELEPHONE: (510) 725-2831
LICENSING EVALUATOR SIGNATURE:	DATE: 05/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2024

LIC9099 (FAS) - (06/04)

Page: 3 of 4