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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434412165
Report Date: 08/07/2024
Date Signed: 08/07/2024 12:53:53 PM

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 STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/31/2024 and conducted by Evaluator Manel Estoesta
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20240531164427
FACILITY NAME:SAFARI KID, INC.FACILITY NUMBER:
434412165
ADMINISTRATOR:NAMRATA WALANIFACILITY TYPE:
850
ADDRESS:1402 DEMPSEY ROADTELEPHONE:
(408) 945-9032
CITY:MILPITASSTATE: CAZIP CODE:
95035
CAPACITY:96CENSUS: 35DATE:
08/07/2024
UNANNOUNCEDTIME BEGAN:
10:27 AM
MET WITH:Licensee Auxilia WilliamTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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9
1. Personal Rights - Staff did not accord child dignity in their relationship with staff or other persons.
INVESTIGATION FINDINGS:
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13
On 8/7/2024 at 10 am, Licensing Program Analyst (LPA) Manel Estoesta conducted a Complaint Investigation. LPA met with the Teacher Mili Kumar and explained the nature of the visit. Present on this visit were 7 Staff, 13 Toddlers and 22 Preschool Children. The facility operates from Monday to Friday, 8:30 am to 6 pm.

Findings were delivered on this visit.

Reporting Party (RP) alleged that C1 was discriminated by the Staff due to C1's "disability" and race.
As per RP, C1 was diagnosed with mental disabilities and motor skills delays.

On LPA's investigation, LPA conducted Facility Inspection, Observations, Interviews, File Review and Record Reviews. At noon today, the Licensee, Auxilia William, arrived at the facility. LPA Estoesta explained the nature of the visit.
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

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

DATE: 08/07/2024
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 7
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 STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/31/2024 and conducted by Evaluator Manel Estoesta
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20240531164427

FACILITY NAME:SAFARI KID, INC.FACILITY NUMBER:
434412165
ADMINISTRATOR:NAMRATA WALANIFACILITY TYPE:
850
ADDRESS:1402 DEMPSEY ROADTELEPHONE:
(408) 945-9032
CITY:MILPITASSTATE: CAZIP CODE:
95035
CAPACITY:96CENSUS: 35DATE:
08/07/2024
UNANNOUNCEDTIME BEGAN:
10:27 AM
MET WITH:Licensee Auxilia WilliamTIME COMPLETED:
01:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
2. Personal Rights - Staff did not prevent C1 from being bullied by other children.
INVESTIGATION FINDINGS:
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2
3
4
5
6
7
8
9
10
11
12
13
On 8/7/2024 at 10 am, Licensing Program Analyst (LPA) Manel Estoesta conducted a Complaint Investigation. LPA met with the Teacher Mili Kumar and explained the nature of the visit. Present on this visit were 7 Staff, 13 Toddlers and 22 Preschool Children. The facility operates from Monday to Friday, 8:30 am to 6 pm.

Findings were delivered on this visit.

Reporting Party (RP) alleged that the Staff failed to supervise C1 to the bathroom that led to C1's being bullied by other children. RP stated that this led to "worsened" C1's disability.

On LPA's investigation, LPA conducted Facility Inspection, Observations, Interviews, File Review and Record Reviews. At noon today, the Licensee, Auxilia William, arrived at the facility. LPA Estoesta explained the nature of the visit.
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

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

DATE: 08/07/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 52-CC-20240531164427
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 STE 1102
OAKLAND, CA 94612
FACILITY NAME: SAFARI KID, INC.
FACILITY NUMBER: 434412165
VISIT DATE: 08/07/2024
NARRATIVE
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Based on the LPA's Observations, Interviews, File Review and Record Reviews, LPA determined 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, therefore, the allegation is UNSUBSTANTIATED.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

For Child Care Transparency Website (Licensing Facility Inspection Reports), please follow the links below.
https://cdss.ca.gov/inforesources/community-care-licensing/facility-search-welcome
https://www.ccld.dss.ca.gov/carefacilitysearch/

Exit interview conducted and report was reviewed with Licensee Auxilia William.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

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

DATE: 08/07/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 7
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 STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/31/2024 and conducted by Evaluator Manel Estoesta
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20240531164427

FACILITY NAME:SAFARI KID, INC.FACILITY NUMBER:
434412165
ADMINISTRATOR:NAMRATA WALANIFACILITY TYPE:
850
ADDRESS:1402 DEMPSEY ROADTELEPHONE:
(408) 945-9032
CITY:MILPITASSTATE: CAZIP CODE:
95035
CAPACITY:96CENSUS: 35DATE:
08/07/2024
UNANNOUNCEDTIME BEGAN:
10:27 AM
MET WITH:Licensee Auxilia WilliamTIME COMPLETED:
01:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
3. Neglect / Lack of Supervision - Staff do not adequately supervise children in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 8/7/2024 at 10 am, Licensing Program Analyst (LPA) Manel Estoesta conducted a Complaint Investigation. LPA met with the Teacher Mili Kumar and explained the nature of the visit. Present on this visit were 7 Staff, 13 Toddlers and 22 Preschool Children. The facility operates from Monday to Friday, 8:30 am to 6 pm.

Findings were delivered on this visit.

Reporting Party (RP) alleged that the Staff failed to supervise C1 to the bathroom that led to C1's being bullied by other children. RP stated that this led to "worsened" C1's disability.

On LPA's investigation, LPA conducted Facility Inspection, Observations, Interviews, File Review and Record Reviews.
Substantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

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

DATE: 08/07/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 52-CC-20240531164427
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 STE 1102
OAKLAND, CA 94612
FACILITY NAME: SAFARI KID, INC.
FACILITY NUMBER: 434412165
VISIT DATE: 08/07/2024
NARRATIVE
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On LPA's investigation, LPA conducted Facility Inspection, Observations, Interviews, File Review and Record Reviews.

As per Section 101229 (a) (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.

Based on LPA’s Record Review, at one time there were 8 children inside the bathroom (including C1) by themselves and unsupervised for about 2 minutes. At that time, Staff were in front of the Staff Break Room Door and Staff appeared to be in discussion. LPA determined the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

LPA Estoesta informed Teacher Mili Kumar that this report dated 8/7/2024 included a Type B Citation which can be posted as there is a potential risk to the health, safety, or personal rights of children in care.

A notice of site visit was given and must remain posted for 30 days.



Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

For Child Care Transparency Website (Licensing Facility Inspection Reports), please follow the links below;
https://cdss.ca.gov/inforesources/community-care-licensing/facility-search-welcome
https://www.ccld.dss.ca.gov/carefacilitysearch/

Exit interview conducted and report was reviewed with the Licensee Auxilia William.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

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

DATE: 08/07/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 7
Control Number 52-CC-20240531164427
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 STE 1102
OAKLAND, CA 94612
FACILITY NAME: SAFARI KID, INC.
FACILITY NUMBER: 434412165
VISIT DATE: 08/07/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
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23
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28
29
30
31
32
Based on the LPA's Observations, Interviews, File Review and Record Reviews, LPA determined 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, therefore, the allegation is UNSUBSTANTIATED.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

For Child Care Transparency Website (Licensing Facility Inspection Reports), please follow the links below.
https://cdss.ca.gov/inforesources/community-care-licensing/facility-search-welcome
https://www.ccld.dss.ca.gov/carefacilitysearch/

Exit interview conducted and report was reviewed with the Licensee Auxilia William.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

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

DATE: 08/07/2024
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 52-CC-20240531164427
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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: SAFARI KID, INC.
FACILITY NUMBER: 434412165
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/30/2024
Section Cited
CCR
101229(a)(1)
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101229 (a) (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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The Licensee will conduct a Staff Meeting and will include discussing the facility's Responsibility for Providing Care and Supervision. The Licensee will submit a copy of the Minutes of Meeting and the sign in attendance as a proof of correction to the Regional Office via mail.
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This requirement is not met as evidenced by,
based on LPA’s Record Review, at one time there were 8 children inside the bathroom (including C1) by themselves and unsupervised for about 2 minutes. At that time, Staff were in front of the Staff Break Room Door and Staff appeared to be in discussion. This poses a potential risk to the health, safety or personal rights to children in care.
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The Licensee will include Children's Personal Rights and IMS topic to the Meeting. LPA provided a video resource from the link,
https://ccld.childcarevideos.org/child-care-center-operators/ and PIN 22-02-CCP BEST PRACTICES RELATED TO THE PROVISION OF INCIDENTAL MEDICAL SERVICES IN CHILD CARE CENTERS AND FAMILY CHILD CARE HOMES.
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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: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

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

DATE: 08/07/2024
LIC9099 (FAS) - (06/04)
Page: 7 of 7