214005487-7-8-2021-05-CC-AZEA-C4XSYV-20210715141809

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 214005487
Report Date: 07/08/2021
Date Signed: 07/08/2021 03:53:54 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/11/2021 and conducted by Evaluator Jyoti Saini

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20210511155417

FACILITY NAME:	GOLDEN POPPY PRESCHOOL & INFANT CENTER		FACILITY NUMBER:	214005487
ADMINISTRATOR:	DEKSNYS, JOAN		FACILITY TYPE:	850
ADDRESS:	50 EL CAMINO DR		TELEPHONE:	(415) 924-2828
CITY:	CORTE MADERA	STATE: CA	ZIP CODE:	94925
CAPACITY:	109	CENSUS: 43	DATE:	07/08/2021
		UNANNOUNCED	TIME BEGAN:	09:05 AM
MET WITH:	Director Kelly Brown and site director Fatimabibi Mirza		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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-Facility operating out of ratio.
-Children needs are not being met.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Jyoti Saini, met with Director, Kelly Brown and site Director, Fatimabibi Mirza for a subsequent complaint inspection to discuss the above allegations. Present in the facility is Director, site director and 9 Staff supervising 43 PreK children.
LPA reviewed the sign-in/out for April 2021 – June 2021, facility roster and interviewed parents and teachers. Based on a record review, observations and interviews conducted, LPA is unable to determine if facility operating out of ratio and if children needs are being met or not. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is Unsubstantiated. Copy of this report is reviewed and provided to the director.
No deficiencies have been cited for this complaint investigation. An exit interview was conducted with the director. Notice of site visit shall be posted for 30 days from today's visit.
This report is emailed to Director with a request for reply showing proof of receipt.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jyoti Saini	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2021

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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