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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013423119
Report Date: 03/16/2023
Date Signed: 08/28/2024 02:51:32 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
02/24/2023 and conducted by Evaluator Indira Loza
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20230224125715
FACILITY NAME:SHU REN INTERNATIONAL SCHOOLFACILITY NUMBER:
013423119
ADMINISTRATOR:CHEN, CHIEN-HSUANFACILITY TYPE:
850
ADDRESS:2125 JEFFERSON AVENUETELEPHONE:
(510) 841-8899
CITY:BERKELEYSTATE: CAZIP CODE:
94703
CAPACITY:104CENSUS: 76DATE:
03/16/2023
UNANNOUNCEDTIME BEGAN:
11:03 AM
MET WITH:Chen Chien-HsuanTIME COMPLETED:
02:34 PM
ALLEGATION(S):
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Personal Rights - Facility did not maintain a comfortable temperature for children in care.
Physical Plant - Facility is in disrepair.
INVESTIGATION FINDINGS:
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This is an amended report for the report dated March 16, 2023
On March 16, 2023 Licensing Program Analyst (LPA) Indira Loza met with Director Chen Chien-Hsuan to continue a complaint investigation. LPA toured the classrooms for a health and safety check. There were 76 children in care and 10 staff.

LPA conducted staff and children interviews and reviewed center documents. The allegations are that the facility is in disrepair and did not maintain a comfortable temperature for the children. The central heating system in the building was disabled due to flooding, and the classrooms had to be supplied with space heaters. The windows were also cracked open to maintain ventilation as a COVID precaution which made the classrooms' temperature drop below 68 degrees and children had to wear jackets inside the classrooms to combat the cold. Based on LPAs observations and interviews, the preponderance of evidence standard has been me and the above allegations are found to be substantiated.
An exit interview was conducted, appeal rights were given, and a copy of this report was provided to Director Chen Chien-Hsuan.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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Control Number 02-CC-20230224125715
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: SHU REN INTERNATIONAL SCHOOL
FACILITY NUMBER: 013423119
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/16/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/31/2023
Section Cited
CCR
101239(a)(1)
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Fixtures, Furniture, Equipment and Supplies a) A comfortable temperature for children shall be maintained at all times.(1) The licensee shall maintain the temperature in rooms that children occupy between... 68 degrees F... and 85 degrees F. This requirement was not met as evidenced by:
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Facility shall ensure that all the classrooms are at least 68 degrees and send the LPA an image of a thermostat in each classroom displaying a temperature of at least 68 degrees F no later than March 31, 2023.
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The building did not have any heat in the classrooms for approximately two weeks where the temperatures reached below 68 degrees F. This poses a potential health and safety risk to the children in care.
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Type B
03/31/2023
Section Cited
CCR
101223(a)(2)
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Personal Rights - (a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
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Director shall review the regulation and watch the video titled "Children's Personal Rights in Child Care" which can be found on the CDSS website. Director shall also email the LPA a statement as to why the facility maintenence is important for the Personal Rights of children, no later than March 31, 2023.
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This requirement was met as evidenced by: Based interviews and record review it was determined that the children were cold while inside the classrooms and had to wear jackets while indoors. This poses a potential health and safety risk to the children in care.
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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: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2