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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073408296
Report Date: 04/22/2022
Date Signed: 04/22/2022 02:11:05 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
04/15/2022 and conducted by Evaluator Caroline Colson
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20220415141248
FACILITY NAME:TULIP CHILD CARE LLC/PINOLE MONTESSORIFACILITY NUMBER:
073408296
ADMINISTRATOR:MADDOX, HIDYFACILITY TYPE:
850
ADDRESS:2612 APPIAN WAYTELEPHONE:
(510) 222-9688
CITY:PINOLESTATE: CAZIP CODE:
94564
CAPACITY:64CENSUS: 32DATE:
04/22/2022
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Angela LopesTIME COMPLETED:
02:25 PM
ALLEGATION(S):
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Lack of Supervision - Facility is out of Ratio
INVESTIGATION FINDINGS:
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On Friday, April 22, 2022, Licensing Program Analyst Caroline Colson met with Angela Lopes, Center Director, for an unannounced complaint inspection at 9:45 AM. There are eight (8) preschool children in the Daisy Classroom and 18 children in the Orchid Classroom. The Tulip Classroom, toddler room, has four (4) children. There are 4 staff members including the director. Record Review was conducted. Interviews were conducted. Hiral Patal and Kiran Patal, Child Care Licensees, arrived during the inspection. The Daisy Classroom, preschool room, has been out of ratio on more than one occasion. The teacher has been left alone with 13-14 preschool children. In the Tulip Classroom, the teacher has been left alone with 8 toddlers on more than one occasion. Based on the LPA interviews and a record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, 101216.3 (a) is being cited on the attached LIC 9099 D.

The attached type A deficiency is being 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 the child's file to be reviewed by licensing.

An exit interview was conducted. A notice of site visit was given and posted.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2022
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 02-CC-20220415141248
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: TULIP CHILD CARE LLC/PINOLE MONTESSORI
FACILITY NUMBER: 073408296
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/22/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/25/2022
Section Cited
CCR
101216.3(a)
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Teacher-Child Ratio
(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below.
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By POC Due Date, Licensee will ensure that there is the correct number of teachers for each classroom.
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This requirement was not met as evidenced by document review and licensee interview. A toddler teacher was left alone with 8 toddlers on more than one occasion. A preschool teacher was left alone with 13-14 children on more than one occasion. This poses an immediate health and safety risk to children in care.
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Failure to correct will result in a $100.00 per day civil penalty until corrected. Repeat violations are 250.00 per violation and $100.00 per day until corrected.
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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: Mayla Mendoza
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3