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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013420914
Report Date: 12/13/2023
Date Signed: 12/13/2023 09:05:23 AM

Unsubstantiated


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
10/02/2023 and conducted by Evaluator Jyoti Saini
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20231002114713
FACILITY NAME:SCHOOL OF IMAGINATIONFACILITY NUMBER:
013420914
ADMINISTRATOR:SIGMAN, CHARLENEFACILITY TYPE:
850
ADDRESS:9801 DUBLIN BLVDTELEPHONE:
(925) 829-9552
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY:87CENSUS: 36DATE:
12/13/2023
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Director, Charlene, SigmanTIME COMPLETED:
09:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not adequately supervise day care children resulting in inappropriate interactions between children in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Jyoti Saini arrived unannounced to deliver the findings from a complaint investigation for the above allegation. LPA met with Director Charlene Sigman and explained the purpose of the inspection. Present for today's visit were the director, 26 fingerprint-cleared and associated staff members, and 34 children in care.
Based on the interview, observation, and record review, the LPA has determined that no one in the facility has witnessed inappropriate interactions. Furthermore, the interview also revealed that no such incident was brought directly to the facility representatives by the children, which concludes that although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is unsubstantiated.

Notice of Site visit and appeal rights were provided.

An exit interview was conducted, and the report was reviewed with the Facility Representative, Charlene Sigman.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2023
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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