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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 274408753
Report Date: 07/08/2024
Date Signed: 07/08/2024 04:24:19 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/25/2024 and conducted by Evaluator Elizabeth Larios
COMPLAINT CONTROL NUMBER: 07-CC-20240425111211
FACILITY NAME:KIDS AT PLAYFACILITY NUMBER:
274408753
ADMINISTRATOR:DENISE CARATTINIFACILITY TYPE:
830
ADDRESS:1441 CONSTITUTION BLVD. #151TELEPHONE:
(831) 769-8697
CITY:SALINASSTATE: CAZIP CODE:
93906
CAPACITY:16CENSUS: 6DATE:
07/08/2024
UNANNOUNCEDTIME BEGAN:
09:32 AM
MET WITH:Indya HawthorneTIME COMPLETED:
02:28 PM
ALLEGATION(S):
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Facility is out of ratio
Facility is in disrepair
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Elizabeth Larios conducted an unannounced inspection to deliver the complaint allegations listed above. LPA met with Teacher, Indya Hawthorne and explained the purpose of today's visit. Upon arrival, LPA observed six (6) infants and two (2) staff engaging in daily activities.

On April 30, 2024 LPA did a physical plant inspection and observed seven (7) out of the eight (8) infant mattress rip and not maintained in good condition. On May 29, 2024 LPA witness the facility out of ratio with two aids (S1 & S2) observing six (6) infants.

During the course of the investigation, LPA conducted physical plant inspections, reviewed facility records & documents, and conducted staff interviews. Based on observations, and information obtained throughout the investigation, the Department concludes that facility has operated out of ratio and is in disrepair. Therefore, the above allegations are SUBSTANTIATED, meaning the allegations are valid because the preponderance of the evidence standard has been met.

====CONTINUE ON LIC 9099-C====
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Elizabeth Larios
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2024
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 07-CC-20240425111211
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: KIDS AT PLAY
FACILITY NUMBER: 274408753
VISIT DATE: 07/08/2024
NARRATIVE
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As a result of this complaint investigation, a type A & B deficiency was cited and a civil penalty of $250 was assessed for repeat violation. See the attached LIC 9099-D.

LPA discussed about AB 633 requirements to provide a copy of this report (LIC 9099 & LIC 9099-D) dated 07/08/2024 and obtain a signed copy of (LIC 9224) for each child in care within one business day. LPA also discussed with Indya that a copy of this report and a signed copy of (LIC 9224) is required for any enrolled children within the next 12 months. A copy of the signed (LIC 9224) must be kept in each child's file. LPA provided a copy of the (LIC 9224) to Indya.

Exit interview was conducted, where this report, the citation, plan of correction, appeal rights, and civil penalties were reviewed and discussed with Teacher Indya Hawthorne. A copy of this report was also provided and appeal rights were given.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED ON OR ADJACENT TO THE INTERIOR SIDE OF THE MAIN DOOR INTO THE FACILITY FOR 30 CONSECUTIVE DAYS.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Elizabeth Larios
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 07-CC-20240425111211
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: KIDS AT PLAY
FACILITY NUMBER: 274408753
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/09/2024
Section Cited
CCR
101416.5(b)(1)(A)
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Staff-Infant Ratio
(b) There shall be a ratio of one teacher for every four infants in attendance. (1) An aide may be substituted for a teacher when all of the following conditions are met: (A) There is a fully qualified teacher directly supervising no more than 12 infants, and

This requirement is not met as evidenced by:
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Director has agreed to submit a written plan to the department listing what has been implemented to ensure that the facility is meeting the required teacher-infant ratio at all times and that aids shall only work under the direct supervision of a teacher to CCL by POC due date 7/9/2024
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On May 29, 2024 LPA witness the facility being out of ratio in the infant classroom. LPA observed two (2) aids (S1 & S2) supervising six (6) infants.

This poses an immediate risk to health and safety of the children in care.
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AB633 Parent Notification is required. According to AB 633, all parents of children currently enrolled and any future children being enrolled for the next 12 months must be provided with this report which contains this type A deficiency.
Type B
07/15/2024
Section Cited
CCR
101239(n)
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Fixtures, Furniture, Equipment and Supplies
(n) Furniture and equipment shall be maintained in good condition, free of sharp, loose or pointed parts.

This requirement is not met as evidenced by:
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Director has agreed to submit a written plan of when crib mattress will be fixed/replaced and send proof (pictures & receipt) once it is completed to CCL by POC due date 07/15/2024.
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On April 30, 2024 LPA did a physical plant inspection and observed seven (7) out of the eight (8) infant mattress were rip and not maintained in good condition.

Which poses/posed a potential health, safety or personal rights risk to persons 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: Joel Segura
LICENSING EVALUATOR NAME: Elizabeth Larios
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3