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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073407419
Report Date: 06/14/2023
Date Signed: 06/14/2023 03:04:18 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 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
06/06/2023 and conducted by Evaluator Julia Placencia
COMPLAINT CONTROL NUMBER: 52-CC-20230606120230
FACILITY NAME:PANACHE ENFANTSFACILITY NUMBER:
073407419
ADMINISTRATOR:PANECH, SHILPAFACILITY TYPE:
830
ADDRESS:2410 SAN RAMON VALLEY BLVD#100TELEPHONE:
(925) 549-2239
CITY:SAN RAMONSTATE: CAZIP CODE:
94583
CAPACITY:12CENSUS: 7DATE:
06/14/2023
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Shilpa PanechTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Unqualified staff providing care to children at facility.
INVESTIGATION FINDINGS:
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On June 14, 2023 at 1:15pm, Licensing Program Analyst (LPA) Julia Placencia arrived unannounced for the Initial 10-Day Complaint regarding the allegation above. LPA met with director Shilpa Panech. There were seven infants, two teachers and an aide present.

LPA observed the infant room, conducted interviews and reviewed documents. Upon review of staff records, it has been determined that none of the three staff LPA observed in the infant room have proof of completion of an infant/toddler class (3 units).

Based on observations, interviews and record review, 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 additional civil penalties. ***Continued on LIC 9099C...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Julia Placencia
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2023
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 3
Control Number 52-CC-20230606120230
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: PANACHE ENFANTS
FACILITY NUMBER: 073407419
VISIT DATE: 06/14/2023
NARRATIVE
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The attached type A violation is cited today and must be corrected by the due date. Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. All parents/guardians must sign an acknowledgement form of proof of receiving this report (LIC 9224). The LIC 9224 must be placed in each child's file to be reviewed by licensing.

An immediate civil penalty of $250 is assessed today as this is a repeat citation (within one year) of a violation cited on 05/03/02023.

Exit interview conducted with director Shilpa Panech. A Notice of Site Visit was provided and must remain posted for 30 days.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Julia Placencia
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 52-CC-20230606120230
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: PANACHE ENFANTS
FACILITY NUMBER: 073407419
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/14/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/15/2023
Section Cited
CCR
101416.2(c)(1)(A)
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Infant Care Qualifications and Duties -
(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
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POC: Licensee shall submit a plan which details how she will ensure there is always a qualified teacher in the infant room. Submit POC to LPA by due date of 6/15/23.
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required in (c)(1) above shall be related to the care of infants...This requirement is not met as evidenced by: Based on observation and record review, all three staff in the infant room did not have proof of completion of 3 units in infant care. This poses an immediate
health and safety 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.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Julia Placencia
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3