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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013422502
Report Date: 05/11/2022
Date Signed: 05/11/2022 01:53:44 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 Christina Uribe
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20220218144019
FACILITY NAME:GROWING YEARS PRESCHOOLFACILITY NUMBER:
013422502
ADMINISTRATOR:MONIZ, SHALIMARFACILITY TYPE:
850
ADDRESS:20320 ANITA AVETELEPHONE:
(510) 581-3731
CITY:CASTRO VALLEYSTATE: CAZIP CODE:
94546
CAPACITY:58CENSUS: 21DATE:
05/11/2022
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Shalimar MonizTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Lack of supervision resulting in inappropriate sexual interaction between daycare children.
INVESTIGATION FINDINGS:
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On 05/11/2022 at 1:30pm, Licensing Program Analyst (LPA) Christina Uribe visited the facility for the purpose of a complaint investigation which alleged that there was a lack of supervision resulting in inappropriate sexual interaction between daycare children. LPA Uribe met with director, Shalimar Moniz. Present during today’s visit is 4 staff and 21 children.

Based on interviews and record review conducted and recorded during the investigation of this alleged complaint, 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, Chapter 1, Section 101229(a)(1), are being cited on the attached LIC 9099D.



Page 1 of 2 ***Continued on LIC 9099C***
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Christina UribeTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 05/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2022
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 5
Control Number 52-CC-20220218144019
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: GROWING YEARS PRESCHOOL
FACILITY NUMBER: 013422502
VISIT DATE: 05/11/2022
NARRATIVE
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LPA Uribe informed director, Shalimar Moniz that this report dated 05/11/2022 documents one Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Uribe informed director, Shalimar Moniz to provide a copy of this licensing report dated 05/11/2022 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

A notice of site visit was given and must remain posted for 30 days. Copy of appeal rights and report was given. Exit interview was conducted with director, Shalimar Moniz.



















Page 2 of 2 ***End of Report***
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Christina UribeTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 05/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 52-CC-20220218144019
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: GROWING YEARS PRESCHOOL
FACILITY NUMBER: 013422502
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/11/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/12/2022
Section Cited
CCR
101229(a)
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California Code of Regulations, Title 22, Division 12, Chapter 1, Section 101229(a)(1) No child(ren) shall be left without the supervision of a teacher at any time. Supervision shall include visual observation.

This requirement is not met as evidenced by:
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1) Director will submit a complete and descriptive diagram of the outside play yard, 2) Indicate on the diagram how staff will be positioned to supervise when children are at play outside, 3) Director and staff will watch the CCLD training video “Supervision of Children at a Day Care Center,
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Interviews and record review showed a preponderance of evidentiary statements that staff admit to not having witnessed three incidents and visual supervision was compromised in the area which the incident between two children in care took place. Which poses an immediate health, safety, or personal rights risk to persons in care.
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 4) The director and staff are to submit a written and signed statement of acknowledgement that she understands the Title 22 regulation regarding the supervision of children. All forms will be submitted to LPA Uribe via scan and email to christina.uribe@dss.ca.gov no later than by 6:00pm on 05/12/2022.
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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: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Christina UribeTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 05/11/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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 Christina Uribe
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20220218144019

FACILITY NAME:GROWING YEARS PRESCHOOLFACILITY NUMBER:
013422502
ADMINISTRATOR:MONIZ, SHALIMARFACILITY TYPE:
850
ADDRESS:20320 ANITA AVETELEPHONE:
(510) 581-3731
CITY:CASTRO VALLEYSTATE: CAZIP CODE:
94546
CAPACITY:58CENSUS: 21DATE:
05/11/2022
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Shalimar MonizTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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2
3
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9
Staff did not notify authorized parents of incidents.
INVESTIGATION FINDINGS:
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13
On 05/11/2022 at 1:30pm, Licensing Program Analyst (LPA) Christina Uribe visited the facility for the purpose of a complaint investigation which alleged that there was a lack of supervision resulting in inappropriate sexual interaction between daycare children. LPA Uribe met with director, Shalimar Moniz. Present during today’s visit is 4 staff and 21 children.

Based on interviews and record review conducted and recorded during the investigation of this alleged complaint, 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, Chapter 1, Section 101212(f) are being cited on the attached LIC 9099D.

A notice of site visit was given and must remain posted for 30 days. Copy of appeal rights and report was given. Exit interview was conducted with director, Shalimar Moniz.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Christina UribeTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 05/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 52-CC-20220218144019
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: GROWING YEARS PRESCHOOL
FACILITY NUMBER: 013422502
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/11/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/10/2022
Section Cited
CCR
101229(f)
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Section 101212(f) The items specified in (d)(1)(C) any unusual incident or child absence that threatens the physical or emotional health or safety of any child shall be reported to the child’s authorized representative.

This requirement is not met as evidenced by:
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1) Director and staff will watch the CCLD training video “Child Care Reporting Requirements”, 2) Director will submit a signed acknowledgement statement of the responsibility of following the reporting requirements regulation and each staff member will sign and date,
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Interviews and record review showed a preponderance of evidentiary statements that staff admit to not having informed one or more unusual incidents that occurred to children in care to their parents which poses a potential health, safety, or personal rights risk to persons in care.
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 3) Director will submit signed statement to LPA Uribe via scan and email to christina.uribe@dss.ca.gov no later than the due date of 06/10/2022.
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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: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Christina UribeTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 05/11/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5