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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013418997
Report Date: 04/09/2025
Date Signed: 04/09/2025 11:31:34 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
01/22/2025 and conducted by Evaluator Catherine Fernandes
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20250122144800
FACILITY NAME:OUSD - ALLENDALE PRESCHOOLFACILITY NUMBER:
013418997
ADMINISTRATOR:HERRERA, CHRISTIEFACILITY TYPE:
850
ADDRESS:3670 PENNIMAN AVE.TELEPHONE:
(510) 879-1010
CITY:OAKLANDSTATE: CAZIP CODE:
94619
CAPACITY:24CENSUS: 22DATE:
04/09/2025
UNANNOUNCEDTIME BEGAN:
09:18 AM
MET WITH:Tarya WhiteTIME COMPLETED:
11:40 AM
ALLEGATION(S):
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7
8
9
Unqualified staff providing care and supervision.
INVESTIGATION FINDINGS:
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10
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13
On 4/9/25, at 9:18AM, Licensing Program Analysts (LPAs) Catherine Fernandes and Indira Loza arrived unannounced to deliver the findings to the above allegation and met with Tarya White. Present in care were 22 preschoolers and four additional staff members. During the investigation LPAs conducted interviews with parents, staff and children, observed the classroom, and reviewed center documents regarding the allegation.
Based on documents provided by the center two of the staff members have a valid 30-day Substitute Teaching Permit, however according to the Commission on Teacher Credentialing the permit authorizes the permit holder to serve as a substitute teacher for no more than thirty days for any one teacher during the school year. According to interviews both staff member have been at the center for more that 30 days, and on 3/12/25 LPAs observed one of the two staff members providing care to children without a qualified teacher at the center therefore, the allegation is SUBSTANTIATED, the preponderance of evidence standard has been met.
Title 22, California Code of Regulations are being cited on the attached LIC 9099 D.
Exit interview conducted with Director. Appeal Rights, Report, and Notice of Site visit provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2025
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 5
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
01/22/2025 and conducted by Evaluator Catherine Fernandes
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20250122144800

FACILITY NAME:OUSD - ALLENDALE PRESCHOOLFACILITY NUMBER:
013418997
ADMINISTRATOR:HERRERA, CHRISTIEFACILITY TYPE:
850
ADDRESS:3670 PENNIMAN AVE.TELEPHONE:
(510) 879-1010
CITY:OAKLANDSTATE: CAZIP CODE:
94619
CAPACITY:24CENSUS: 22DATE:
04/09/2025
UNANNOUNCEDTIME BEGAN:
09:18 AM
MET WITH:Tarya WhiteTIME COMPLETED:
11:40 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Child injured while in care.
INVESTIGATION FINDINGS:
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10
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13
On 4/9/25, at 9:18AM, Licensing Program Analysts (LPAs) Catherine Fernandes and Indira Loza arrived unannounced to deliver the findings to the above allegation and met with Tarya White. Present in care were 22 preschoolers and four additional staff members. During the investigation LPAs conducted interviews with parents, staff and children, observed the classroom, and reviewed center documents regarding the allegation.

Based on interviews in November 2024 a child in care had an injury resulting in a fracture, therefore, the allegation is SUBSTANTIATED, the preponderance of evidence standard has been met. Title 22, California Code of Regulations is being cited on the attached LIC 9099 D.

Exit interview conducted
Report, Appeal Rights and Notice of site visit provided.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
01/22/2025 and conducted by Evaluator Catherine Fernandes
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20250122144800

FACILITY NAME:OUSD - ALLENDALE PRESCHOOLFACILITY NUMBER:
013418997
ADMINISTRATOR:HERRERA, CHRISTIEFACILITY TYPE:
850
ADDRESS:3670 PENNIMAN AVE.TELEPHONE:
(510) 879-1010
CITY:OAKLANDSTATE: CAZIP CODE:
94619
CAPACITY:24CENSUS: 22DATE:
04/09/2025
UNANNOUNCEDTIME BEGAN:
09:18 AM
MET WITH:Tarya WhiteTIME COMPLETED:
11:40 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Children observed without adult supervision
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 4/9/25, at 9:18AM, Licensing Program Analysts (LPAs) Catherine Fernandes and Indira Loza arrived unannounced to deliver the findings to the above allegation and met with Tarya White. Present in care were 22 preschoolers and four additional staff members. During the investigation LPAs conducted interviews with parents, staff and children, observed the classroom, and reviewed center documents regarding the allegation.

On 1/28/25 LPA Mario Caro observed a child coming out of the bathroom while the class was having circle time in the front of the classroom and 3/12/25 LPA Loza observed children walking in and out of the same bathroom without staff supervision. Therefore, the allegation is SUBSTANTIATED, the preponderance of evidence standard has been met. Title 22, California Code of Regulations is being cited on the attached LIC 9099 D.
Exit interview conducted
Report, Appeal Rights and Notice of site visit provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2025
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 5
Control Number 02-CC-20250122144800
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: OUSD - ALLENDALE PRESCHOOL
FACILITY NUMBER: 013418997
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/09/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/30/2025
Section Cited
CCR
101216.1(c)(3)
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Teacher Qualifications: One of the following Child Development Permits issued by the California Commission on Teacher Credentialing (A)Child Development Associate Teacher Permit; or (B) Child Development Teacher Permit; (C) Child Development Master ... permit.
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The center will come up with schedule for the rest of the month to show qualified teachers providing care throughout the day and during staff lunch times, then send it to CCL by POC date.
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This requirement has not been met as evidenced by: Based on the 30-day Substitute Teacher certificate two staff members are no longer qualified teachers due to length of time the staff members have been at the center, which is a potential risk to children in care.
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Type B
04/30/2025
Section Cited
CCR
101223(a)(2)
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Personal Rights: The licensee shall ensure that each child is accorded the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement has not been met as
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The center will provide a statement which will include what has been done to ensure classroom furniture is no longer a safety risk to children in care, then send the plan to CCL by POC date.
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evidenced by: Based on interviews a child in care sustained a fracture due to classroom furniture, which is a potential safety risk to 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: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 02-CC-20250122144800
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: OUSD - ALLENDALE PRESCHOOL
FACILITY NUMBER: 013418997
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/09/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/30/2025
Section Cited
CCR
101229(a)(1)
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2
3
4
5
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7
Responsibility for Providing Care and Supervision: The licensee shall provide care and supervision as necessary to meet the children's needs. 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...This requirement..
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The center will come up with a plan, which should include rearranging the classroom to ensure bathroom supervision, then send the plan and classroom layout to CCL by POC date.
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has not been met as evidenced by:

Based on LPAs observing children go in and out of the classroom bathroom without supervision, which is a potential risk to 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: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5