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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073407419
Report Date: 05/03/2023
Date Signed: 05/03/2023 04:56:45 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
04/27/2023 and conducted by Evaluator Morgan Pringle
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20230427101105
FACILITY NAME:PANACHE ENFANTSFACILITY NUMBER:
073407419
ADMINISTRATOR:HOGUE, ALYSSAFACILITY TYPE:
830
ADDRESS:2410 SAN RAMON VALLEY BLVD#100TELEPHONE:
(925) 549-2239
CITY:SAN RAMONSTATE: CAZIP CODE:
94583
CAPACITY:12CENSUS: 11DATE:
05/03/2023
UNANNOUNCEDTIME BEGAN:
09:37 AM
MET WITH:Stefanie GalvezTIME COMPLETED:
04:51 PM
ALLEGATION(S):
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9
Staff files are incomplete
INVESTIGATION FINDINGS:
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On 5/3/2023 at 9:37am Licensing Program Analyst (LPA) Morgan Pringle met with Incoming Director, Stefanie Galvez for a Initial 10-Day Complaint visit to investigate a complaint that was filed against the facility alleging staff files were incomplete. Facility is dual licensed and holds a license for preschool (073407418). Present during the visit were eleven (11) infants and three (3) staff. Incoming Director was helping in the classroom off and on as well.

Through record review it was found that all three (3) staff present had incomplete files. LPA determined the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22 is being cited on the attached LIC 9099D. Failure to submit Proof of Corrections (POC) by Plan of Correction date may result in civil penalties.
A notice of site visit was given to licensee and must be posted for 30 days.
Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Exit interview conducted and report was reviewed with Stefanie Galvez.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023
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
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
04/27/2023 and conducted by Evaluator Morgan Pringle
COMPLAINT CONTROL NUMBER: 52-CC-20230427101105

FACILITY NAME:PANACHE ENFANTSFACILITY NUMBER:
073407419
ADMINISTRATOR:HOGUE, ALYSSAFACILITY TYPE:
830
ADDRESS:2410 SAN RAMON VALLEY BLVD#100TELEPHONE:
(925) 549-2239
CITY:SAN RAMONSTATE: CAZIP CODE:
94583
CAPACITY:12CENSUS: 11DATE:
05/03/2023
UNANNOUNCEDTIME BEGAN:
09:37 AM
MET WITH:Stefanie GalvezTIME COMPLETED:
04:51 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Unqualified staff working at facility
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
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9
10
11
12
13
On 5/3/2023 at 9:37am Licensing Program Analyst (LPA) Morgan Pringle met with Incoming Director, Stefanie Galvez for a Initial 10-Day Complaint visit to investigate a complaint that was filed against the facility alleging unqualified staff working at facility. Facility is dual licensed and holds a license for preschool (073407418). Present during the visit were eleven (11) infants and three (3) staff. Incoming Director was helping in the classroom off and on as well.

Through record review it was found that all three (3) staff (S5, S6, and S7) do not have any postsecondary semester or equivalent quarter units of education that is required. All three (3) staff, and the incoming Director, also do not have the required three (3) infant/toddler.

LPA determined the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22 is being cited on the attached LIC 9099D. Failure to submit Proof of Corrections (POC) by Plan of Correction date may result in civil penalties.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023
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 5
Control Number 52-CC-20230427101105
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: PANACHE ENFANTS
FACILITY NUMBER: 073407419
VISIT DATE: 05/03/2023
NARRATIVE
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LPA Pringle informed incoming Director that this report dated 5/3/2023 document(s) 1 Type A citation 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 Pringle informed the Director to provide a copy of this licensing report dated 5/3/2023 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.

A notice of site visit was given to licensee and must be posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Stefanie Galvez.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 52-CC-20230427101105
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: PANACHE ENFANTS
FACILITY NUMBER: 073407419
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/03/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/04/2023
Section Cited
CCR
101416.2(c)(1)(A)
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(c) To be a fully qualified infant care teacher, a teacher shall have the following: (1) Completion, with passing grades, of 12 postsecondary semester or equivalent quarter units in early childhood or child development...(A) At least three of the units required in (c)(1) above shall be related to the care of infants...
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Director will ensure that qualified staff are used for the care of infants at the facility at all times. Director will submit statement on the staffing plan for the infants moving forward.
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This requirement was not met as evidenced by: S5, S6 and S7 do not have the required 12 units in early childhood or child development. S5, S6 and S7 and incoming Director do not have 3 units in infant care. This poses an immediate risk to the health and safety of 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: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 52-CC-20230427101105
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: PANACHE ENFANTS
FACILITY NUMBER: 073407419
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/03/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/12/2023
Section Cited
CCR
101216(g)(1)
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(g) All personnel...shall be in good health...(1)... good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure.
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Director and incoming Director will make sure to obtain LIC503 Health Screening Report from S6. Director will submit document and a statement to LPA Pringle, by POC date, explaining how the facility will ensure staff files are complete at all times.
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This requirement was not met as evidenced by: S6 did not have a Health Screening Report on file this poses a potential risk to the health and safety of the children in care.
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Type B
05/12/2023
Section Cited
HSC
1596.8662(b)(1)
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(b)(1) On or before March 30, 2018, a person who, on January 1, 2018, is a...employee of a licensed child day care facility shall complete the mandated reporter training...and shall complete renewal mandated reporter training every two years...
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Director will ensure to obtain a certificate of completeion from S5 for the Mandated Reporter training. Director will submit certificate to LPA Pringle by POC date.
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This requirement was not met as evidenced by: S5 did not have a certificate of completeion for the Mandated Reporter training. This poses a potential risk to the health and safety of the chikdren 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: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 5