073408296-7-6-2022-02-CC-SJON-CGKM74-20220722092055

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 073408296
Report Date: 07/06/2022
Date Signed: 07/06/2022 10:24:30 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
05/04/2022 and conducted by Evaluator Christina Watts

COMPLAINT CONTROL NUMBER: 02-CC-20220504151001

FACILITY NAME:	TULIP CHILD CARE LLC/PINOLE MONTESSORI		FACILITY NUMBER:	073408296
ADMINISTRATOR:	MADDOX, HIDY		FACILITY TYPE:	850
ADDRESS:	2612 APPIAN WAY		TELEPHONE:	(510) 222-9688
CITY:	PINOLE	STATE: CA	ZIP CODE:	94564
CAPACITY:	64	CENSUS: 22	DATE:	07/06/2022
		UNANNOUNCED	TIME BEGAN:	09:40 AM
MET WITH:	Angela Lopes		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Facility is operating out of ratio

INVESTIGATION FINDINGS:

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On 07/06/2022 at 9:40 am, Licensing Program Analysts (LPAs) Christina Watts and Morgan Pringle conducted an unannounced Subsequent Complaint Investigation at Tulip Child Care LLC/Pinole Montessori. LPAs met with Acting Director/Teacher Angela Lopes and explained the purpose of today’s inspection. During today's inspection, there were 22 children in care and 38 children enrolled. The finding for the above allegation was delivered during the inspection. During the course of the investigation completed a physical plant inspection, reviewed facility records and conducted interviews. 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 Acting Director/Teacher Angela Lopes. Appeal rights were provided. A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 CONSECUTIVE DAYS.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2022

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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