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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 010212475
Report Date: 02/07/2024
Date Signed: 02/07/2024 11:18:11 AM

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, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/01/2024 and conducted by Evaluator Tasha Hackett-Alexander
COMPLAINT CONTROL NUMBER: 02-CC-20240201135844
FACILITY NAME:OAKLAND HEAD START - SAN ANTONIOFACILITY NUMBER:
010212475
ADMINISTRATOR:JIMINEZ, LOURDESFACILITY TYPE:
850
ADDRESS:2228 EAST 15TH STREETTELEPHONE:
(510) 535-5639
CITY:OAKLANDSTATE: CAZIP CODE:
94606
CAPACITY:24CENSUS: 15DATE:
02/07/2024
UNANNOUNCEDTIME BEGAN:
08:07 AM
MET WITH:LOURDES JIMINEZTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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PERSONAL RIGHTS- Facility does not maintain comfortable temperature for day care children
INVESTIGATION FINDINGS:
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On February 7, 2024 Licensing Program Analyst (LPA) Tasha Alexander met with center director Lourdes Jiminez to discuss the above complaint allegation.

Upon arrival there are 15 children present along with 3 staff inside of the classroom. Today an interview with the center director and a tour of the facility was conducted.

Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 & Chapter number 1, are being cited on the attached LIC. 9099D.

An exit interview was conducted. A notice of site visit was posted.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2024
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 02-CC-20240201135844
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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: OAKLAND HEAD START - SAN ANTONIO
FACILITY NUMBER: 010212475
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/09/2024
Section Cited
CCR
101239(a)(1)
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101239 Fixtures, Furniture, Equipment and Supplies
(a) A comfortable temperature for children shall be maintained at all times.
(1) The licensee shall maintain the temperature in rooms that children occupy between a minimum of 68 degrees F (20 degrees C) and a maximum of 85 degrees F (30 degrees C).
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The facility will maintain a temperature of a minimum of 68 degrees or a maximum of 85 degrees at all times. The facility has purchased portable heaters to heat the classroom but they may not be sufficient. Licensee must ensure that the classroom is at a temp of at least 68 degrees by the time children arrive. adequate heating must be installed by 2/9/24.
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THIS REQUIREMENT WAS NOT MET AS EVIDENCED BY: OBSERVATIONS AND A TOUR OF THE FACILITY WHICH REVEALED THAT THE TEMPERATURE INSIDE OF THE FACILITY IS 60 DEGREES
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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: Loretta Dyson
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2