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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 435700718
Report Date: 07/06/2023
Date Signed: 07/06/2023 01:10:26 PM

Unsubstantiated


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
05/30/2023 and conducted by Evaluator Michael Mathew
COMPLAINT CONTROL NUMBER: 52-CC-20230530150617
FACILITY NAME:BUILDING KIDZ PALO ALTOFACILITY NUMBER:
435700718
ADMINISTRATOR:PATEL, VIBHUTIFACILITY TYPE:
850
ADDRESS:415 LAMBERT AVENUETELEPHONE:
(650) 224-2144
CITY:PALO ALTOSTATE: CAZIP CODE:
94306
CAPACITY:96CENSUS: 32DATE:
07/06/2023
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Priya SudharsanTIME COMPLETED:
01:25 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility is out of ratio
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 7/6/23 at, 9:45 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 Priya Sudharsan and advised her the purpose of the inspection. Director provided LPA a tour of the facility inside and out. There were 32 children and 7 staff in care at the time of the inspection.

Allegation: Facility is out of ratio. 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 Priya Sudharsan
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Michael Mathew
LICENSING EVALUATOR SIGNATURE:

DATE: 07/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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