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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013421349
Report Date: 03/08/2022
Date Signed: 03/08/2022 12:43:56 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, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/09/2022 and conducted by Evaluator Phyllis Dyer
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20220209163620
FACILITY NAME:KIDS KONNECT PRESCHOOLFACILITY NUMBER:
013421349
ADMINISTRATOR:STINSON, IVYFACILITY TYPE:
850
ADDRESS:8800 FONTAINE STTELEPHONE:
(510) 569-5437
CITY:OAKLANDSTATE: CAZIP CODE:
94605
CAPACITY:24CENSUS: 6DATE:
03/08/2022
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Jo'Kia McCallTIME COMPLETED:
12:55 PM
ALLEGATION(S):
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Day care child was left in soiled clothing.
INVESTIGATION FINDINGS:
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 LPA Dyer met with Director J. McCall to provide results of the above allegation. There are 6 children and 3 staff present. It was alleged that Day care child was left in soiled clothing. During the course of the investigation, interviews were conducted and disclosed that a child in care had been changed several times within 1 day and had no additional clean clothing at the facility. The child had another accident. Contradictory statements have been made as to how long the child remained in the soiled clothing. It was not definitively determined when the last accident occurred, but when the child met their guardian at pickup, his clothing was soiled. Staff states they were unaware that the facility had extra clothing, and if they had known, the child would have been changed prior to pick-up. Because a child in care must be accorded safe, healthful and comfortable accommodations, this allegation is substantiated.
Based on the LPA's observations, record reviews, and interviews which were conducted, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be Substantiated. California Code of Regulations, (Title 22, Division 12) are being cited on the attached LIC9099 D. The attached Type B deficiency must be corrected by the due date. Exit interview conducted. Director was provided their appeal rights. This report must be kept available for public review for 3 years.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Phyllis Dyer
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2022
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 2
Control Number 02-CC-20220209163620
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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: KIDS KONNECT PRESCHOOL
FACILITY NUMBER: 013421349
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/08/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/22/2022
Section Cited
CCR
101223(a)(2)(3)
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Personal Rights (a) The licensee shall ensure …personal rights…To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. To be free … interference with functions of daily living including eating, sleeping or toileting...
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Director will provide a statement as to how she will ensure that Children will be accorded safe, healthful and comfortable accommodations; and how regulations regarding functions of daily living will not be violated.
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This requirement was not met as evidenced by interview. Child was presented to the guardian at the end of the day in soiled clothing. This poses a potential risk to children in care.
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Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected
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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.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Phyllis Dyer
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2