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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013423060
Report Date: 03/21/2025
Date Signed: 03/21/2025 04:25:45 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
02/13/2025 and conducted by Evaluator Diana Campos
COMPLAINT CONTROL NUMBER: 02-CC-20250213154205
FACILITY NAME:SMALL SIZE BIG MIND INCFACILITY NUMBER:
013423060
ADMINISTRATOR:CHOP, MALYKAFACILITY TYPE:
850
ADDRESS:2450 PAN AM WAYTELEPHONE:
(510) 420-4567
CITY:ALAMEDASTATE: CAZIP CODE:
94501
CAPACITY:90CENSUS: DATE:
03/21/2025
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Rebecca RyggTIME COMPLETED:
04:40 PM
ALLEGATION(S):
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Child left outside unattended.
INVESTIGATION FINDINGS:
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LPAs D. Santiago D. Campos met with Administrator Rebecca Rygg for an unannounced subsequent complaint investigation regarding the above allegation. Present for the investigation were, 5 staff and 36 preschool children in care. During the investigation, interviews were conducted. It was alleged that a child was left outside unattended. Interviews disclosed a child was left unsupervised in the enclosed play area adjacent to classroom. Based on interviews which were conducted and record review(s), the preponderance of evidence standard has been met. Therefore, the above allegation is found to be SUBSTANTIATED. See the attached LIC 9099D for deficiency cited.

A Notice of Site Visit was provided and must remain posted for 30 days.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025
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 02-CC-20250213154205
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: SMALL SIZE BIG MIND INC
FACILITY NUMBER: 013423060
VISIT DATE: 03/21/2025
NARRATIVE
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LPAs informed Administrator Rebecca Rygg that this report dated 3/21/2025 document(s) 1 Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.
Also, LPAs informed the administrator to provide a copy of this licensing report dated 3/21/2025 that documents any Type A citation(s) 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.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 02-CC-20250213154205
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: SMALL SIZE BIG MIND INC
FACILITY NUMBER: 013423060
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/21/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/24/2025
Section Cited
CCR
101229(a)(1)
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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.
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Facility shall submit a written plan of action describing how they will ensure this incident does not repeat. Additionally, facility will provide active supervision training to all staff and submit copy of signature log for all attending staff.
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This requirement was not met as evidenced by: Interviews disclosed a child was left unsupervised in the outdoor play area.
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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: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3