013420903-8-10-2023-52-CC-JJAG-CVTKVC-20230919081404

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 013420903
Report Date: 08/10/2023
Date Signed: 08/10/2023 01:36:26 PM

Unsubstantiated

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 STE 1102
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/18/2023 and conducted by Evaluator Manel Estoesta

PUBLIC

COMPLAINT CONTROL NUMBER: 52-CC-20230718130652

FACILITY NAME:	EXTENDED DAY CHILD CARE - EDCC - KOLB ELEMENTARY		FACILITY NUMBER:	013420903
ADMINISTRATOR:	FERRARO, ALEXANDRA		FACILITY TYPE:	840
ADDRESS:	3150 PALERMO WAY		TELEPHONE:	(925) 828-2666
CITY:	DUBLIN	STATE: CA	ZIP CODE:	94568
CAPACITY:	120	CENSUS: 31	DATE:	08/10/2023
		UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Director Tamara Brelland		TIME COMPLETED:	01:50 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Personal Rights - Staff did not accord child dignity in their relationship with staff and other person.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On Thursday, August 10, 2023 at 11:30 am, Licensing Program Analyst (LPA) Manel Estoesta conducted an unannounced subsequent Complaint Investigation Visit. LPA met with the Director Tamara Brelland. Present on this visit were 8 staff and 31 school age children. The finding for the above allegation were delivered during the visit.

The LPA has investigated alleging that S1 created a behavior issue to C1 due to S1 personal bias. During the investigation the LPA conducted a physical plant inspection, interviews with facility staff, children in care and children's authorized representatives, and record review.

Based on the interviews and information obtained throughout the investigation, the allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed UNSUBSTANTIATED.
A notice of site visit was given and must remain posted for 30 days. Exit interview conducted with the Tamara Brelland.

Unsubstantiated

Estimated Days of Completion: 90

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:	DATE: 08/10/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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