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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013423128
Report Date: 07/18/2024
Date Signed: 07/18/2024 04:58:41 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
06/14/2024 and conducted by Evaluator Indira Loza
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20240614163101
FACILITY NAME:SMALLTRANS BEARSFACILITY NUMBER:
013423128
ADMINISTRATOR:JACKSON-BURNS, CYNTHIAFACILITY TYPE:
830
ADDRESS:111 GRAND AVENUETELEPHONE:
(510) 286-5130
CITY:OAKLANDSTATE: CAZIP CODE:
94612
CAPACITY:40CENSUS: 0DATE:
07/18/2024
UNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Cynthia Jackson-BurnsTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Staff allow infants to sleep in equipment other than a crib

INVESTIGATION FINDINGS:
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On July 18, 2024 at 2:10pm, Licensing Program Analyst (LPA) Indira Loza and Licensing Program Managers (LPMs) Mayla Mendoza and Sherelle Johnson arrived unannounced to deliver the findings to the above allegation. There were no children or staff present during today's visit. LPA delivered the findings to Licensee/Director Cynthia Jackson-Burns via telephone.
During the course of the investigation LPAs Loza and Fernandes conducted interviews with parents, staff, and children, observed the classrooms, reviewed center documentation regarding the allegation and did a walkthrough of the center.

Interviews stated that when caring for more than 13 infants some infants would have to sleep on the floor without a mat or cot. A photo was also provided to LPAs showing an infant sleeping on the floor with a boppy pillow. The preponderance of evidence standard has been met, therefore, the allegation is SUBSTANTIATED. California Code of Regulations, Title 22 101439(b) is being cited on the attached LIC9099-D with a Type A citation.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024
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 5
Control Number 02-CC-20240614163101
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: SMALLTRANS BEARS
FACILITY NUMBER: 013423128
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/19/2024
Section Cited
CCR
101439(b)
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101439.1(b) Infant Care Center Sleeping Equipment: A crib or portable-crib meeting United States Consumer Product Safety Commission safety standards shall be provided for each infant who is unable to climb out of a crib. This requirement has not been met as evidenced by:
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TSO has been issued and licensee has been advised of her appeal rights.
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Based on interview and a picture licensee failed to provide the cribs to all infants in care, which is an immediate risk to the health, safety, and personal rights of 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.
SUPERVISOR'S NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024
LIC9099 (FAS) - (06/04)
Page: 2 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, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/14/2024 and conducted by Evaluator Indira Loza
COMPLAINT CONTROL NUMBER: 02-CC-20240614163101

FACILITY NAME:SMALLTRANS BEARSFACILITY NUMBER:
013423128
ADMINISTRATOR:JACKSON-BURNS, CYNTHIAFACILITY TYPE:
830
ADDRESS:111 GRAND AVENUETELEPHONE:
(510) 286-5130
CITY:OAKLANDSTATE: CAZIP CODE:
94612
CAPACITY:40CENSUS: 0DATE:
07/18/2024
UNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Cynthia Jackson-BurnsTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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9
Ratio: Staff do not ensure required ratios are maintained
INVESTIGATION FINDINGS:
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On July 18, 2024 at 2:10pm, Licensing Program Analyst (LPA) Indira Loza and Licensing Program Managers (LPMs) Mayla Mendoza and Sherelle Johnson arrived unannounced to deliver the findings to the above allegation. There were no children or staff present during today's visit. LPA delivered the findings to Licensee/Director Cynthia Jackson-Burns via telephone.
During the course of the investigation LPAs Loza and Fernandes conducted interviews with parents, staff, and children, observed the classrooms, reviewed center documentation regarding the allegation and did a walkthrough of the center.

Interviews stated that at times there were there were more than a 6 to one ratio in the toddler classroom and more than one to four ratio in the infant classroom. The preponderance of evidence standard has been met, therefore, the allegation is SUBSTANTIATED. California Code of Regulations, Title 22 101439(b) is being cited on the attached LIC9099-D with a Type A citation.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 02-CC-20240614163101
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: SMALLTRANS BEARS
FACILITY NUMBER: 013423128
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/19/2024
Section Cited
CCR
101416.5(b)
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Staff-Infant Ratio There shall be a ratio of one teacher for every four infants in attendance. This requirement has not been met as evidenced by:
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TSO has been issued and licensee has been advised of her appeal rights.
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Based on interviews conducted, it was determined that ratios were not being met which is an immediate risk to 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.
SUPERVISOR'S NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 02-CC-20240614163101
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: SMALLTRANS BEARS
FACILITY NUMBER: 013423128
VISIT DATE: 07/18/2024
NARRATIVE
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LPA Loza  informed Licensee Cynthia Jackson-Burns that this report dated July 18, 2024 document(s) 2 Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. 

Also, LPA Loza informed the licensee to provide a copy of this licensing report date  July 18, 2024 that documents the 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.  

Exit Interview conducted.
Report and Appeal Rights provided to Licensee/Director Cynthia Jackson-Burns via telephone.
SUPERVISOR'S NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 5