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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013422060
Report Date: 05/08/2020
Date Signed: 05/08/2020 11:46:02 AM



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
03/06/2020 and conducted by Evaluator Julia Placencia
COMPLAINT CONTROL NUMBER: 52-CC-20200306100603
FACILITY NAME:PRIMROSE SCHOOL OF LIVERMOREFACILITY NUMBER:
013422060
ADMINISTRATOR:WALTER, AMANDAFACILITY TYPE:
850
ADDRESS:2901 LAS POSITAS RDTELEPHONE:
(925) 215-7372
CITY:LIVERMORESTATE: CAZIP CODE:
94551
CAPACITY:110CENSUS: 8DATE:
05/08/2020
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Victoria FurzeTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Facility is out of ratio
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Julia Placencia spoke to Assistant Admin Victoria Furze to conclude the complaint investigation regarding the allegation above. Due to the COVID-19 shelter in place order issued by the Governor of California, the complaint findings were delivered via telephone. Per Ms. Furze, there were 8 preschool age children present at the facility.

During the course of the investigation, interviews were conducted and documents were reviewed. It has been determined that on and around 03/06/2020, the facility was often over ratio during morning drop off hours, with one teacher supervising more than 12 preschool age children without an additional staff member present.

Based on interviews and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, Title 22 is being cited on the attached LIC 9099D. Failure to submit Proof of Corrections (POC) by Plan of Correction date may result in additional civil penalties. ***Continued on LIC 9099C...

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Julia PlacenciaTELEPHONE: (510) 725-5998
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2020
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-20200306100603
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: PRIMROSE SCHOOL OF LIVERMORE
FACILITY NUMBER: 013422060
VISIT DATE: 05/08/2020
NARRATIVE
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The attached type A violation is cited today and must be corrected by the due date. Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. All parents/guardians must sign an acknowledgement form of proof of receiving this report (LIC 9224). The LIC 9224 must be placed in each child's file to be reviewed by licensing. This report shall remain on file for 3 years.

Exit interview conducted with Victoria Furze. A copy of this report and appeal rights were provided through email, and Ms. Furze agrees to sign the report and return to LPA.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Julia PlacenciaTELEPHONE: (510) 725-5998
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 52-CC-20200306100603
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: PRIMROSE SCHOOL OF LIVERMORE
FACILITY NUMBER: 013422060
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/08/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
05/11/2020
Section Cited
CCR
101216.3(a)
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101216.3(a) Teacher-Child Ratio -
There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance.



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POC: Director shall submit a written plan that details how she will ensure the proper ratio is maintained at all times by due date of 5/11/20.
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This requirement is not met as evidenced by: Based on interviews conducted, on and around 3/6/20, there was one teacher supervising more than 12 preschool age children with no other staff present, during morning drop off hours. This is an immediate health and safety risk to children in care.
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Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
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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.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Julia PlacenciaTELEPHONE: (510) 725-5998
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2020
LIC9099 (FAS) - (06/04)
Page: 3 of 3