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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 010200263
Report Date: 01/04/2022
Date Signed: 01/04/2022 01:29:55 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, 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
12/15/2021 and conducted by Evaluator Jonathan Williams
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20211215120103
FACILITY NAME:HAPPINESS HILL PRESCHOOL AND DAY CAREFACILITY NUMBER:
010200263
ADMINISTRATOR:SILLIMAN, SUZANNEFACILITY TYPE:
850
ADDRESS:20600 JOHN DRIVETELEPHONE:
(510) 537-0773
CITY:CASTRO VALLEYSTATE: CAZIP CODE:
94546
CAPACITY:123CENSUS: 64DATE:
01/04/2022
UNANNOUNCEDTIME BEGAN:
12:01 PM
MET WITH:Deanna GoddinTIME COMPLETED:
01:42 PM
ALLEGATION(S):
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Facility is not following COVID-19 guidelines.
INVESTIGATION FINDINGS:
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On 1/4/2022, Licensing Program Analyst (LPA) Jonathan Williams arrived to the facility unnanounced for the purposes of concluding investigation into the above allegation. LPA was met by fully qualified teacher Deanna Goddin. Present for today's visit were 10 fingerprint cleared and associated staff members and 64 preschool-aged children in care.

During the course of investigation, LPA viewed a YouTube video and interviewed facility staff. Based on interview and YouTube video, LPA determined that the facility held a holiday-themed event in which preschool-age children were singing indoors in groups without face coverings in violation of state and county public health guidance.

The preponderance of evidence standard has been met; therefore, the allegation is deemed SUBSTANTIATED.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jonathan Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 01/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2022
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-20211215120103
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: HAPPINESS HILL PRESCHOOL AND DAY CARE
FACILITY NUMBER: 010200263
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/04/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/11/2022
Section Cited
CCR
101223(a)(2)
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(a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations...

This requirement was not met as evidenced by:

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Director shall hold a required staff training for all staff members. During training, state and county public health guidance for mask usage will be reviewed. All staff who attend training shall sign affadavit confirming that they have attended the training.
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Based on LPA viewing of a video posted online (YouTube) as well as statement by staff member, it was determined that unmasked children were in close quarters during a holiday event. This poses a potential risk to the health and safety of 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: Wynn Norona
LICENSING EVALUATOR NAME: Jonathan Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 01/04/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2