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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 444417084
Report Date: 08/29/2024
Date Signed: 08/29/2024 02:12:32 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/22/2024 and conducted by Evaluator Samantha Yip
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240822155208
FACILITY NAME:HIDDEN TREASURES PRESCHOOLFACILITY NUMBER:
444417084
ADMINISTRATOR:JACKIE ALLENFACILITY TYPE:
850
ADDRESS:4401 SCOTTS VALLEY DRIVETELEPHONE:
(831) 430-8725
CITY:SCOTTS VALLEYSTATE: CAZIP CODE:
95066
CAPACITY:15CENSUS: 9DATE:
08/29/2024
UNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Jackie Allen and Jaime AllenTIME COMPLETED:
02:20 PM
ALLEGATION(S):
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Staff does not provide adequate supervision to day care children.
Staff does not ensure day care children's files are maintained.
Staff does not ensure staff's personnel files are maintained.
Center is not in clean, safe, and in good repair
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced complaint investigation. LPA met with Licensee Jaime Allen and Director Jackie Allen and explained the reason for the inspection. Present during today's inspection were nine children and at least three staff.

During the course of this investigation, LPA conducted observation. LPA interviewed staff and children. LPA also reviewed sign in/out sheets, children and staff files. Based on the information obtained, the above allegations are found to be SUBSTANTIATED, meaning the preponderance of the evidence standard has been met.
---------------CONTINUES ON 9099 DATED 08/29/2024 PAGE 2---------------
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2024
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 07-CC-20240822155208
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: HIDDEN TREASURES PRESCHOOL
FACILITY NUMBER: 444417084
VISIT DATE: 08/29/2024
NARRATIVE
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-------------CONTINUATION OF 9099 DATED 08/29/2024 PAGE 1--------------

Upon entrance into the outdoor area, LPA observed that there were 8 children on the patio area with one staff. There was one child in the sandbox. Licensee was talking to a parent and had her back against the child. At 10:50AM, LPA observed that there was one child at the tables outside. There was one staff at the sandbox and the second staff was walking towards the sandbox. Due to location of sandbox, staff are unable to see child at the table. LPA discussed with Licensee that children need to visual supervised at all time.

LPA reviewed 10 children's files during today's inspection. LPA observed that two out of 10 children did not have admission agreement. There were two children, C-1 and C-2, who were signed in on 08/22/2024 and did not have file.
LPA reviewed two (2) staff files. S-1 was hired on 07/31/2024. S-1 is missing immunization records for measles, pertussis, and influenza. S-1's health screening and TB test was completed on 08/19/2024. LPA discussed with Licensee that health screening and TB test needs cannot be more than a year old or needs to be completed within 7 days of employment.

There are two wall heaters in the center. There is barricades surrounding the wall heater; however, there is a gap where a child could access the wall heater. Director stated that they will anchor the barricade to the wall and send proof to Licensing. There is a slide that was placed on top of hay stacks that was not anchored. The slide can move if pushed against. Licensee removed slide during today's inspection.

As a result of this inspection, Type B citations were issued. Exit interview conducted and report was reviewed with Licensee Jaime Allen. A notice of site visit has been issued and must remain posted for 30 days.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 07-CC-20240822155208
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: HIDDEN TREASURES PRESCHOOL
FACILITY NUMBER: 444417084
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/29/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/13/2024
Section Cited
CCR
101229(a)(1)
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Responsibility for Providing Care and Supervision. The licensee shall provide care and supervision as necessary to meet the children's needs. No child(ren) shall be left without the supervision of a teacher at any time,... Supervision shall include visual observation.
This requirement is not met as evidenced by:
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By POC 09/13/2024, Licensee will submit written plan outlining how they will ensure children are supervised at all times.
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Based on observation, there was one child in the sandbox. Licensee's back was against the child and the other staff was at the table area and is unable to see children. At 10:50AM, there was one child at the table. There was one staff at the sandbox and the second staff was walking towards the sandbox. This poses a potential health and safety risk to children in care.
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Type B
09/13/2024
Section Cited
CCR
101221(b)
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Child's Record. Each record shall contain information including, but not limited to, the following:
This requirement is not met as evidenced:
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By POC 09/13/2024, Licensee will obtain admission agreement for C-3 and C-4. Licensee will obtain a letter fro C-1 and C-2 that they are
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Based on record review, two out of 10 children did not have admission agreement on file. C-1 and C-2 were present at the center and does not have file. This poses a potential health and safety risk to children in care.
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not enrolled at the center and submit proof to Licensing.
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: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 07-CC-20240822155208
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: HIDDEN TREASURES PRESCHOOL
FACILITY NUMBER: 444417084
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/29/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/13/2024
Section Cited
CCR
101217(a)
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Personnel Records. The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee...
This requirement is not met as evidenced by:
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By POC 09/13/2024, Licensee will obtain immunization records for S-1 and submit proof to Licensing.
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Based on record reviews, S-1 is missing immunization records for measles, pertussis, and influenza. This poses a potential health and safety risk to children in care.
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Type B
09/13/2024
Section Cited
CCR
101239(c)
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Fixtures, Furniture, Equipment and Supplies. Fireplaces and open-faced heaters shall be made inaccessible to children to ensure children's safety.
This requirement is not met as evidenced by:
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By POC 09/13/2024, the center will anchor the wall heater to the wall and submit proof to Licensing.
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Based on observation, there is a gap between the wall and the barricade for the wall heaters; therefore, is not inaccessible to children. Wall heater was not turned on during today's inspection. This poses a potential health and safety risk to children 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: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/22/2024 and conducted by Evaluator Samantha Yip
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240822155208

FACILITY NAME:HIDDEN TREASURES PRESCHOOLFACILITY NUMBER:
444417084
ADMINISTRATOR:JACKIE ALLENFACILITY TYPE:
850
ADDRESS:4401 SCOTTS VALLEY DRIVETELEPHONE:
(831) 430-8725
CITY:SCOTTS VALLEYSTATE: CAZIP CODE:
95066
CAPACITY:15CENSUS: 9DATE:
08/29/2024
UNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Jackie Allen and Jaime AllenTIME COMPLETED:
02:20 PM
ALLEGATION(S):
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Staff does not ensure the facility outside is in safe conditions.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced complaint investigation. LPA met with Licensee Jaime Allen and Director Jackie Allen and explained the reason for the inspection.

During the course of this investigation, LPA inspected the physical plant. Based on the information obtained, the above allegation is found to be UNSUBSTANTIATED, although, the above allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

No deficiencies were issued as a result of this inspection. Exit interview conducted and report was reviewed with Licensee Jaime Allen. A notice of site visit has been issued and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 5 of 5