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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434412182
Report Date: 02/05/2024
Date Signed: 02/05/2024 01:29:57 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 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
11/14/2023 and conducted by Evaluator Michael Mathew
COMPLAINT CONTROL NUMBER: 52-CC-20231114131144
FACILITY NAME:PARENTS NURSERY SCHOOLFACILITY NUMBER:
434412182
ADMINISTRATOR:AMY THIEMANFACILITY TYPE:
850
ADDRESS:2328 LOUIS ROADTELEPHONE:
(650) 856-1440
CITY:PALO ALTOSTATE: CAZIP CODE:
94303
CAPACITY:60CENSUS: 23DATE:
02/05/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Theresa Hentzel TIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Facility doesn’t perform any disaster drills
INVESTIGATION FINDINGS:
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13
On 2/5/24 at,10:00 AM Licensing Program Analyst (LPA) Michael Mathew conducted an unannounced inspection to conclude a complaint investigation and completed a COVID-19 pre-screening questions prior to entering the facility. LPA met with Director Theresa Hentzel and advised her the purpose of the inspection. Director provided LPA a tour of the facility inside and out. There were 23 children and 3 staff in care at the time of the inspection.

Allegation: Facility doesn’t perform any disaster drills. Based on LPAs interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation of the Facility doesn’t perform any disaster drills. is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1, Article 03, Section: 101174.(d) Disaster and Mass Casualty Plan, are being cited on the attached LIC 9099D.

A notice of site visit and appeal rights were given. Exit interview conducted and report was reviewed with Director Theresa Hentzel
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Michael Mathew
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2024
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 5
Control Number 52-CC-20231114131144
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: PARENTS NURSERY SCHOOL
FACILITY NUMBER: 434412182
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/05/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/05/2024
Section Cited
CCR
101174(d)
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101174(d) Disaster drills shall be conducted at least every six months.

This requirement is not met as evidenced by:
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Facility agreed to send completed Disaster drill to LPA by end of day 2/6/24
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Based on interviews with staff, the facility did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. LPA observed the fire drill was conducted once a year .
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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: Wynn Norona
LICENSING EVALUATOR NAME: Michael Mathew
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 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
11/14/2023 and conducted by Evaluator Michael Mathew
COMPLAINT CONTROL NUMBER: 52-CC-20231114131144

FACILITY NAME:PARENTS NURSERY SCHOOLFACILITY NUMBER:
434412182
ADMINISTRATOR:AMY THIEMANFACILITY TYPE:
850
ADDRESS:2328 LOUIS ROADTELEPHONE:
(650) 856-1440
CITY:PALO ALTOSTATE: CAZIP CODE:
94303
CAPACITY:60CENSUS: 23DATE:
02/05/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Theresa Hentzel TIME COMPLETED:
01:45 PM
ALLEGATION(S):
1
2
3
4
5
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8
9
Facility is in disrepair
INVESTIGATION FINDINGS:
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5
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7
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13
On 2/5/24 at,10:00 AM Licensing Program Analyst (LPA) Michael Mathew conducted an unannounced inspection to conclude a complaint investigation and completed a COVID-19 pre-screening questions prior to entering the facility. LPA met with Director Theresa Hentzel and advised her the purpose of the inspection. Director provided LPA a tour of the facility inside and out. There were 23 children and 3 staff in care at the time of the inspection.

Allegation:Facility is in disrepair . During the investigation, LPA interviewed staff members, and parents. Based on interviews conducted, there is not a preponderance of evidence to prove the alleged violation did or did not occur, meaning the allegations may have happened or are valid. Therefore, the allegations are deemed UNSUBSTANTIATED.

Report was reviewed and a notice of site visit was given and must remain posted for 30 days. Exit interview was conducted with director Theresa Hentzel
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Michael Mathew
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 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
11/14/2023 and conducted by Evaluator Michael Mathew
COMPLAINT CONTROL NUMBER: 52-CC-20231114131144

FACILITY NAME:PARENTS NURSERY SCHOOLFACILITY NUMBER:
434412182
ADMINISTRATOR:AMY THIEMANFACILITY TYPE:
850
ADDRESS:2328 LOUIS ROADTELEPHONE:
(650) 856-1440
CITY:PALO ALTOSTATE: CAZIP CODE:
94303
CAPACITY:60CENSUS: 23DATE:
02/05/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Theresa Hentzel TIME COMPLETED:
01:45 PM
ALLEGATION(S):
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2
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9
Staff did not provide a safe and comfortable environment for daycare children
INVESTIGATION FINDINGS:
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12
13
On 2/5/24 at,10:00 AM Licensing Program Analyst (LPA) Michael Mathew conducted an unannounced inspection to conclude a complaint investigation and completed a COVID-19 pre-screening questions prior to entering the facility. LPA met with Director Theresa Hentzel and advised her the purpose of the inspection. Director provided LPA a tour of the facility inside and out. There were 23 children and 3 staff in care at the time of the inspection.

Allegation:Staff did not provide a safe and comfortable environment for daycare children During the investigation, LPA interviewed staff members, and parents. Based on interviews conducted, there is not a preponderance of evidence to prove the alleged violation did or did not occur, meaning the allegations may have happened or are valid. Therefore, the allegations are deemed UNSUBSTANTIATED.

Report was reviewed and a notice of site visit was given and must remain posted for 30 days. Exit interview was conducted with director Theresa Hentzel
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Michael Mathew
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2024
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 5