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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013420587
Report Date: 01/12/2024
Date Signed: 01/12/2024 02:23:15 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
12/11/2023 and conducted by Evaluator Tasha Hackett-Alexander
COMPLAINT CONTROL NUMBER: 02-CC-20231211104942
FACILITY NAME:THROUGH THE LOOKING GLASS EARLY HEAD STARTFACILITY NUMBER:
013420587
ADMINISTRATOR:CATCHING, DENISEFACILITY TYPE:
830
ADDRESS:3075 ADELINE AVENUETELEPHONE:
(510) 393-6824
CITY:BERKELEYSTATE: CAZIP CODE:
94703
CAPACITY:16CENSUS: 8DATE:
01/12/2024
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:MALIKA GUERGAHTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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PERSONAL RIGHTS- Staff did not ensure child was adequatly clothed for the weather
INVESTIGATION FINDINGS:
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On January 12, 2024 at 12:45 PM Licensing Program Analyst (LPA) Tasha Alexander met with Center director Malika Guergah to deliver the findings to the above complaint allegation.

Upon arrival there are 8 infants present along with 6 staff members including the center director. During the analyst's last visit, an interview was conducted with the center director and documents were requested.

Documents were recievied and further investigation has been conducted,

Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 & Chapter 1 , 101223 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: 01/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2024
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-20231211104942
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: THROUGH THE LOOKING GLASS EARLY HEAD START
FACILITY NUMBER: 013420587
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/12/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/26/2024
Section Cited
CCR
101223(a)(2)
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101223 Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights:
(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
THIS REQUIREMENT WAS NOT MET AS EVIDENCED BY:
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LICENSEE WILL CONDUCT A STAFF TRAINING AND REVIEW THE VIDEOS ON CCL WEBSITE ON CHILD PERSONAL RIGHTS. LICENSEE WILL SUBMIT A BRIEF SUMMARY OF THE TRAINING AND A SIGN IN SHEET OF ALL STAFF THAT ATTENDED BY 1/26/24.
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INTERVIEWS AND RECORD REVIEWS WHICH REVEALED AN INFANT WAS INADEQUATELY CLOTHED WHEN THE CHILD WAS ALLOWED TO BE OUTSIDE WITHOUT SHOES.
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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: 01/12/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2