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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 015700672
Report Date: 02/12/2025
Date Signed: 02/12/2025 03:17:31 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 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
01/15/2025 and conducted by Evaluator Randy Miranda
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20250115162708
FACILITY NAME:LEARN AND PLAY MONTESSORI PERALTAFACILITY NUMBER:
015700672
ADMINISTRATOR:SHAWNNEN FRASIERFACILITY TYPE:
860
ADDRESS:4511 PERALTA BLVDTELEPHONE:
(510) 916-1503
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY:90CENSUS: 23DATE:
02/12/2025
UNANNOUNCEDTIME BEGAN:
01:13 PM
MET WITH:Shawnnen FrasierTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Reporting Requirements – Facility failed to report incidents.
INVESTIGATION FINDINGS:
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On February 12, 2025, Licensing Program Analysts (LPA) Randy Miranda met with Director Shawnnen Frasier to deliver the findings from a complaint investigation for the above allegation. Present during the inspection were the two directors, two teachers, and twenty three (23) children in care (eight-2year olds, seven-3year olds, and eight-4year olds).

During the course of the investigation LPA reviewed children’s files and conducted staff interviews. By way of admission, there was an incident that occurred in the facility which was not reported to the parents and Licensing. 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(d)(1)(C) is being cited on the attached LIC 9099D).

A notice of site visit was given and must remain posted for 30 days. Appeal Rights provided and discussed.
An exit interview was conducted with Director Shawnnen Frasier.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2025
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 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 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
01/15/2025 and conducted by Evaluator Randy Miranda
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20250115162708

FACILITY NAME:LEARN AND PLAY MONTESSORI PERALTAFACILITY NUMBER:
015700672
ADMINISTRATOR:SHAWNNEN FRASIERFACILITY TYPE:
860
ADDRESS:4511 PERALTA BLVDTELEPHONE:
(510) 916-1503
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY:90CENSUS: 23DATE:
02/12/2025
UNANNOUNCEDTIME BEGAN:
01:13 PM
MET WITH:Shawnnen FrasierTIME COMPLETED:
03:15 PM
ALLEGATION(S):
1
2
3
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5
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7
8
9
Lack of Supervision – Facility failed to prevent inappropriate interaction between children in care.
INVESTIGATION FINDINGS:
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13
On February 12, 2025, Licensing Program Analysts (LPA) Randy Miranda met with Director Shawnnen Frasier to deliver the findings from a complaint investigation for the above allegation. Present during the inspection were the two directors, two teachers, and twenty three (23) children in care (eight-2year olds, seven-3year olds, and eight-4year olds).

Based on interviews, record reviews, observations, and video footage, the allegation stated above may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

A notice of site visit was given and must remain posted for 30 days. Appeal Rights provided and discussed.
An exit interview was conducted with Director Shawnnen Frasier.


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 52-CC-20250115162708
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: LEARN AND PLAY MONTESSORI PERALTA
FACILITY NUMBER: 015700672
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/12/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/12/2025
Section Cited
CCR
101212(d)(1)(C)
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 Reporting Requirements 101212(d)(1)(C) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1)... Events reported shall include the following: Any unusual incident or child absence that threatens the physical or emotional health or safety of any child.
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The Facility shall watch the "Child Care Reporting Requirements" at www.ccld.childcarevideos.org and submit a written statement explaining when and how an event should be reported to the Community Care Licensing Division (CCLD) by the POC due date of 02/27/2025.
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This requirement is not met as evidenced by:

Based on interview and record review, the licensee did not comply with the section cited above as there is no record of the incident reported to Community Care Licensing Division (CCLD), which posed a potential health, safety, or personal rights risk to persons in care.
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In the future, Licensee will report Unusual Incidents/Injuries to CCLD. Licensee will also file reports into personnel/children's files.
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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: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4