073408291-3-13-2023-02-CC-SJON-CQBPT6-20230327113526

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 073408291
Report Date: 03/13/2023
Date Signed: 03/13/2023 11:51:21 AM

Unsubstantiated

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
01/24/2023 and conducted by Evaluator Monica Mathur

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20230124143553

FACILITY NAME:	KID TIME, INC		FACILITY NUMBER:	073408291
ADMINISTRATOR:	FARRELL, STRETTA		FACILITY TYPE:	850
ADDRESS:	2491 SAN MIGUEL DR.		TELEPHONE:	(925) 987-6713
CITY:	WALNUT CREEK	STATE: CA	ZIP CODE:	94596
CAPACITY:	45	CENSUS:	DATE:	03/13/2023
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Streeta Farrell		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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Facility has open alcohol bottles inside areas used by children

INVESTIGATION FINDINGS:

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On 3/13/23 Licensing Program Analysts (LPAs) Monica Mathur and Michelle Sutton conducted an unannounced Subsequent Complaint Investigation and met with Director Streeta Farrell. It was determined that facility hosted Parent Social Event during Christmas holidays after hours where parents brought in food and alcohol bottles. Interviews determined staff observed wine bottles left behind in the front room used as staff break room, storage racks for snack/supplies and Pre-K children activities. It could not be determined whether alcohol bottles were present, open or accessible to children during their activity time. Based on the interviews and information obtained throughout the investigation, the allegation is UNSUBSTANTIATED which means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. No Deficiency has been cited for this allegation. Exit interview conducted with Director Streeta Farrell. A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 DAYS.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2023

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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