073405645-5-29-2025-02-CC-MMAR-DHTSKG-20250620135639

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 073405645
Report Date: 05/29/2025
Date Signed: 05/29/2025 02:18:21 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/20/2025 and conducted by Evaluator Tasha Hackett-Alexander

COMPLAINT CONTROL NUMBER: 02-CC-20250520203525

FACILITY NAME:	ST. CATHERINE OF SIENA PRESCHOOL		FACILITY NUMBER:	073405645
ADMINISTRATOR:	SANTIAGO, DANA		FACILITY TYPE:	850
ADDRESS:	1125 FERRY ST		TELEPHONE:	(925) 917-2003
CITY:	MARTINEZ	STATE: CA	ZIP CODE:	94553
CAPACITY:	42	CENSUS: 0	DATE:	05/29/2025
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	TOMMIE SYMONDS		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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7
8
9

SUPERVISION- Staff do not provide children with adequate care or supervision

INVESTIGATION FINDINGS:

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9
10
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13

On 5/29/2025 Licensing Program Analyst (LPA) Tasha Alexander met with center director Tommie Symonds to deliver the findings to the above complaint allegation.

Upon arrival there are no children present due to it being graduation day. On this analyst's last visit, a tour of the facility was conducted and interviews were conducted with staff and children in care.

Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division & Chapter 1 are being cited on the attached LIC. 9099D.

An exit interview was conducted with center diretcor Tommie Symonds

A notice of site visit was given and must be posted for 30 days.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:	DATE: 05/29/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2025

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 4

Control Number 02-CC-20250520203525

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: ST. CATHERINE OF SIENA PRESCHOOL	FACILITY NUMBER: 073405645
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/29/2025

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 06/12/2025 Section Cited CCR 101229	1 2 3 4 5 6 7	101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. THIS REQUIREMENT WAS NOT MET AS EVIDENCED BY LPA OBSERVATION.	1 2 3 4 5 6 7	Licensee will ensure that all children are escorted to the bathroom by a staff member. Licensee will have staff review the child supervision videos provided on the CCLD website. Licensee will submit a summary of the videos reviewed and a signed list of all staff that reviewed the videos by 6/12/25.
	8 9 10 11 12 13 14	At least one child was observed entering the facility to go to the bathroom without adult supervision.	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: Monica Mathur
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:	DATE: 05/29/2025

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/20/2025 and conducted by Evaluator Tasha Hackett-Alexander

COMPLAINT CONTROL NUMBER: 02-CC-20250520203525

FACILITY NAME:	ST. CATHERINE OF SIENA PRESCHOOL		FACILITY NUMBER:	073405645
ADMINISTRATOR:	SANTIAGO, DANA		FACILITY TYPE:	850
ADDRESS:	1125 FERRY ST		TELEPHONE:	(925) 917-2003
CITY:	MARTINEZ	STATE: CA	ZIP CODE:	94553
CAPACITY:	42	CENSUS: 0	DATE:	05/29/2025
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	TOMMIE SYMONDS		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

PERSONAL RIGHTS- Staff yell at children

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 5/29/2025 Licensing Program Analyst (LPA) Tasha Alexander met with center director Tommie Symonds to deliver the findings to the above complaint allegation.

Upon arrival there are no children present due to it being graduation day. On this analyst's last visit, a tour of the facility was conducted and interviews were conducted with staff and children in care.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

An exit interview was conducted with center director Tommie Symond

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:	DATE: 05/29/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 3 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/20/2025 and conducted by Evaluator Tasha Hackett-Alexander

COMPLAINT CONTROL NUMBER: 02-CC-20250520203525

FACILITY NAME:	ST. CATHERINE OF SIENA PRESCHOOL		FACILITY NUMBER:	073405645
ADMINISTRATOR:	SANTIAGO, DANA		FACILITY TYPE:	850
ADDRESS:	1125 FERRY ST		TELEPHONE:	(925) 917-2003
CITY:	MARTINEZ	STATE: CA	ZIP CODE:	94553
CAPACITY:	42	CENSUS: 0	DATE:	05/29/2025
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	TOMMIE SYMONDS		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

PERSONAL RIGHTS- Staff force child to nap / lay down

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 5/29/2025 Licensing Program Analyst (LPA) Tasha Alexander met with center director Tommie Symonds to deliver the findings to the above complaint allegation.

Upon arrival there are no children present due to it being graduation day. On this analyst's last visit, a tour of the facility was conducted and interviews were conducted with staff and children in care.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

An exit interview was conducted with center director Tommie Symond

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:	DATE: 05/29/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 4 of 4