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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013413922
Report Date: 10/02/2023
Date Signed: 10/02/2023 02:17:37 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 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
09/21/2023 and conducted by Evaluator Briana Plumboy
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20230921135938
FACILITY NAME:NURTUREKIDS MONTESSORI, PRESCHOOL & EXTENDED CAREFACILITY NUMBER:
013413922
ADMINISTRATOR:RELAN, SHASHIFACILITY TYPE:
850
ADDRESS:38000 CAMDEN STREETTELEPHONE:
(510) 797-2222
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY:53CENSUS: 31DATE:
10/02/2023
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Ruby Masih- DirectorTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Qualification- Staff are not qualified
INVESTIGATION FINDINGS:
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On 10/2/23, Licensing Program Analysts (LPAs) Briana Plumboy and Randall Dunevant met with Director Ruby Masih to deliver the finding of an complaint filed against NURTUREKIDS MONTESSORI, PRESCHOOL & EXTENDED CARE regarding the allegation of personal rights. Present during the inspection was 6 staff.
The allegation staff do not have the proper qualifications has been SUBSTANTIATED. Staff S3 was supervsing 8 children alone on 9/28/23 and is a teacher aide. Based on LPA's observations and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Title 22, Division 12, Chapter 1, Section 101216.2(e) is being cited on the attached LIC. 9099D.
LIC 9224 was issued and discussed.
A notice of site visit was given and must remain posted for 30 days.
Appeal Rights were given and discussed. An exit interview was conducted.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Briana Plumboy
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2023
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-20230921135938
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: NURTUREKIDS MONTESSORI, PRESCHOOL & EXTENDED CARE
FACILITY NUMBER: 013413922
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/02/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
10/03/2023
Section Cited
CCR
101216.2(e)
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101216.2 Teacher Aide Qualifications and Duties
(e) An aide shall work only under the direct supervision of a teacher.
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During the inspection on 9/28/23, classes were combined to meet teacher/aide supervision requirements. On 10/2/23, an email was sent to LPA Plumboy regarding how classes are now set up to maintain compliance with teacher/ aides.
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This requirement was not met as evidenced by:
Based on tour, interview, and observation S3 was alone supervsing 8 children in care on 9/28/23 which poses 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.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Briana Plumboy
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3