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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013410074
Report Date: 05/18/2022
Date Signed: 05/18/2022 02:09:06 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, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/10/2022 and conducted by Evaluator Tasha Hackett-Alexander
COMPLAINT CONTROL NUMBER: 02-CC-20220510155930
FACILITY NAME:ECOLE BILINGUE DE BERKELEY PRESCHOOLFACILITY NUMBER:
013410074
ADMINISTRATOR:MIRZA KOPELMANFACILITY TYPE:
850
ADDRESS:2830 TENTH ST.TELEPHONE:
(510) 549-3867
CITY:BERKELEYSTATE: CAZIP CODE:
94710
CAPACITY:100CENSUS: 74DATE:
05/18/2022
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:SABASTIAN ROBERTTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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PHYSICAL ABUSE/CORPORAL PUNISHMENT- STAFF HIT CHILD IN CARE
INVESTIGATION FINDINGS:
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LICENSING PROGRAM ANALYST MET WITH HEAD OF SCHOOL SABASTIAN ROBERT AND ASSISTANT DIRECTOR CHAUNCEY BURNETT TO DISUSS THE ABOVE COMPLAINT ALLEGATION.

UPON ARRIVAL, THERE ARE 74 PRESCHOOL AGE CHILDREN PRESENT ALONG WITH 16 STAFF MEMBERS. TODAY AN INTERVIEW HAS BEEN CONDUCTED WITH THE DIRECTOR AND THE HEAD OF THE SCHOOL. DURING TODAY'S INTERVIEWS, IT HAS BEEN CONFIRMED THAT A STAFF MEMBER HIT A CHILD IN CARE AS A FORM OF DISCIPLINE. PER MR. ROBERT, THE STAFF WAS A LONG-TERM SUBSTITUE WHO HAS NOW BEEN TERMINATED. PER CALIFORNIA TITLE 22 REGULATIONS, EACH CHILD SHALL BE FREE FROM CORPORAL OR UNUSUAL PUNISHMENT.

BASED ON LPAs OBSERVATIONS AND INTERVIEWS WHICH WERE CONDUCTED AND RECORD REVIEW, THE PREPONDERANCE OF EVIDENCE STANDARE HAS BEEN MET, THEREFORE THE ABOVE ALLEGATION IS FOUND TO BE SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter number 1), ARE BEING CITED ON THE ATTACHED LIC 9099-D.

THE LIC 9224 ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS HAS BEEN GIVEN AND EXPLAINED. A COPY OF THIS REPORT SHALL BE GIVEN TO EACH CHILD'S PARENT OR GUARDIAN BY THE NEXT BUSINESS DAY AND THE SIGNED ACKNOLEDGEMENT SHALL BE PUT INTO THEIR CHILD'S FILE. A COPY SHALL ALSO BE GIVEN TO ANY NEWLY ENROLLED CHILD'S PARENT FOR UP TO ONE YEAR. THIS COPY SHALL BE POSTED AT THE FACILITY FOR 30 DAYS.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:

DATE: 05/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2022
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 02-CC-20220510155930
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: ECOLE BILINGUE DE BERKELEY PRESCHOOL
FACILITY NUMBER: 013410074
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/18/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/03/2022
Section Cited
CCR
101223(a)(3)
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101223 Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights:
(3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.
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POC- FACILITY HAS ALREADY TERMINATED THE EMPLOYMENT OF THE STAFF MEMBER. FACILITY WILL ALSO CONDUCT AN ALL STAFF TRAINING ON PERSONAL RIGHTS AND HOW TO DEAL WITH DIFFICULT CHILDEN. FACILITY WILL SUBMIT PROOF OF ALL STAFF TRAINING BY 6/3/22.
FACILITY HAS BEEN NOTIFIED THAT THERE MAY BE AN INFORMAL CONFERENCE WITH CCL MANAGEMENT TO DISCUSS THE INCIDENT.
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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: 05/18/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2