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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 435700718
Report Date: 07/19/2024
Date Signed: 08/01/2024 09:16:22 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 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
06/25/2024 and conducted by Evaluator Jialing Zhu
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20240625143332
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: 30DATE:
07/19/2024
UNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Vibhuti PatelTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Physical Plant: Facility staff are not keeping the facility free of pests.
INVESTIGATION FINDINGS:
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On 07/19/2024 at 9:25am Licensing Program Analyst (LPA) Jialing Zhu and Licensing Program Manager (LPM) Chandra Charles conducted an UNANNOUNCED COMPLAINT SITE INSPECTION. LPAs met with facility representative, Vibhuti Patel, who is the Executive Director of the facility. LPA advised Director a complaint alleging a violation of Physical Plant was filed against the facility. LPA and LPM toured the facility inside and outside for health and safety inspection. Present during the inspection were five (5) fingerprint-cleared staff and 30 children.

This agency has investigated the complaint alleging facility staff are not keeping the facility free of pests. Based on LPA’s and LPM’s observations, staff record reviews, and director/staff interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, 101238(a)(1), is being cited on the attached LIC 9099D.
Report was reviewed and a notice of site visit was given and must remain posted for 30 days. Exit interview was conducted with Executive Director, Vibhuti Patel.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Jialing Zhu
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2024
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 2
Control Number 52-CC-20240625143332
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: BUILDING KIDZ PALO ALTO
FACILITY NUMBER: 435700718
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/19/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/19/2024
Section Cited
CCR
101238(a)(1)
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The licensee shall take measures to keep the center free of flies, other insects, and rodents.

This requirement is not met as evidenced by:
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Director will schedule for pest control services to address pests present inside the facility.
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Based on observations and interviews, the director did not comply with the section cited above as ants were observed to be present near the refrigerator where food is kept and in one (1) cubby, which poses a potential health and safety risk to persons in care.
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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: Chandra Charles
LICENSING EVALUATOR NAME: Jialing Zhu
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2