<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434414671
Report Date: 12/04/2024
Date Signed: 12/04/2024 12:41:46 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, 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
09/25/2024 and conducted by Evaluator Melanie Otsuji
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20240925115017
FACILITY NAME:TINY EINSTEIN CHILD DEVELOPMENT CENTERFACILITY NUMBER:
434414671
ADMINISTRATOR:OKSANA BAZHENOVAFACILITY TYPE:
850
ADDRESS:827 INDEPENDENCE AVENUETELEPHONE:
(650) 518-7777
CITY:MOUNTAIN VIEWSTATE: CAZIP CODE:
94043
CAPACITY:72CENSUS: 49DATE:
12/04/2024
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Oksana BazhenovaTIME COMPLETED:
12:50 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
- Staff pushed children.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Melanie Otsuji arrived to the facility unannounced to conclude investigation into the above allegation. LPA met with Director, Oksana Bazhenova. Also present during today's visit were 7 additional staff members and 49 preschool aged children.

During the course of the investigation LPA made observations and conducted interviews. Based on interviews Director stated that S1 observed C1 with their leg on the table. S1 then proceeded to brush the child's leg off of the table which can be seen as pushing of the leg. Based on LPAs observations and record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Health and Safety Code 1596.80 is being cited on the attached LIC. 9099D.

An exit interview and report reviewed with Director, Oksana Bazhenova.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024
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 52-CC-20240925115017
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: TINY EINSTEIN CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 434414671
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/04/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/18/2024
Section Cited
CCR
101223(a)(1)
1
2
3
4
5
6
7
Personal Rights. To be accorded dignity in his/her personal relationships with staff and other persons.

This requirement is not being met as evidence by: Interviews conducted stated that S1 was observed to push C1's leg off of
1
2
3
4
5
6
7
Director is to have all staff review the personal rights video for child care centers found at ccld.childcarevideos.org. Signatures of all staff whom have reviewed the video to be submitted to LPA via email no later than 12/18/2024.
8
9
10
11
12
13
14
the table which poses a potential health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3