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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414004637
Report Date: 08/23/2023
Date Signed: 12/08/2023 05:11:38 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 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
08/04/2023 and conducted by Evaluator Maria Olguin-Leon
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20230804161037
FACILITY NAME:BUILDING KIDZ SCHOOLFACILITY NUMBER:
414004637
ADMINISTRATOR:FRIEDLIN, LINDAFACILITY TYPE:
850
ADDRESS:1633 LAUREL STREETTELEPHONE:
(650) 718-6800
CITY:SAN CARLOSSTATE: CAZIP CODE:
94070
CAPACITY:72CENSUS: 39DATE:
08/23/2023
UNANNOUNCEDTIME BEGAN:
01:07 PM
MET WITH:TIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff handles day care children in a rough manner.
Staff yells at day care children.
INVESTIGATION FINDINGS:
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*************** THIS IS AN AMENDED REPORT FROM ORIGINAL DATED 08/23/2023 *********************

On August 23, 2023, at 1:07 PM., Licensing Program Analysts (LPA) Maria Olguin- Leon arrived at the facility unannounced to close the complaint investigation into the above allegations and met with Director, Komal Rajput. Purpose of the inspection was explained. Present was the director and 7 staff supervising 39 children. LPA inspected facility for health and safety hazards.

During the course of the investigation, site observations were conducted on 8/09/2023 and 08/23/2023. LPA collected personnel roster, reviewed personnel files, and received and reviewed video recordings of toddler classroom in facility. LPA conducted interviews with director, staff, and all involved parties.
(REFER TO 9099C FOR CONT.)
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Carol Marcroft
LICENSING EVALUATOR NAME: Cindy Interiano
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2023
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 05-CC-20230804161037
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: BUILDING KIDZ SCHOOL
FACILITY NUMBER: 414004637
VISIT DATE: 08/23/2023
NARRATIVE
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*************** THIS IS AN AMENDED REPORT (page 2) FROM ORIGINAL DATED 08/23/2023*****************
(PAGE 2)
Regarding the allegation of Staff handles day care children in a rough manner; Based on information collected, LPA confirmed a staff handled a children in a rough manner.

Regarding the allegation of staff yells at day care children; Based on information collected, LPA confirmed staff yells at day care children.

Based on information obtained, the preponderance of evidence standard has been met, therefore the allegation(s) are found to be SUBSTANTIATED. California code of Regulations (Title 22, Section 12 Chapter 1) are being cited on attached 9099D. Appeal Rights were provided to the facility.

This report will be kept in the Facility File and will be made available for Public Review upon request. Website for Forms and Regulations: www.ccld.ca.gov. This report and rights to comment and appeal were discussed.

Report was reviewed and signed copy of this report was provided to the Director, Komal Rajput.

SUPERVISOR'S NAME: Carol Marcroft
LICENSING EVALUATOR NAME: Cindy Interiano
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 05-CC-20230804161037
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: BUILDING KIDZ SCHOOL
FACILITY NUMBER: 414004637
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/23/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
08/23/2023
Section Cited
CCR
101223(a)(2)
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101223(a)(2)Personal Rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by:
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Director tried to speak to staff and staff left aburptly. Staff is no longer employed at facility.
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Based on information collected, LPA confirmed, this requirement has not been met, staff handled children in a rough manner and yelled at children, which poses an immediate health, safety or personal rights risk to children in care.
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During teacher training service day 08/31/23-09/01/2023, Director will conduct training with staff to review personal rights and how to properly interact with children. Agenda and signed attendance will be submitted to the department via email by 09/01/2023.
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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.
SUPERVISOR'S NAME: Carol Marcroft
LICENSING EVALUATOR NAME: Cindy Interiano
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2023
LIC9099 (FAS) - (06/04)
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