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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013420914
Report Date: 03/27/2024
Date Signed: 03/27/2024 12:08:13 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
01/31/2024 and conducted by Evaluator Jyoti Saini
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20240131140041
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: 71DATE:
03/27/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Director, Charlene Sigman and Curriculum Coordinator Lupe, HernandezTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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-Facility staff are not qualified.
INVESTIGATION FINDINGS:
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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 Curriculum Coordinator Lupe Hernandez and explained the purpose of the inspection. The director, Curriculum Coordinator, 27 fingerprint-cleared and associated staff members, and 71 children in care were present for today's visit.
Based on the interviews, observations, and record reviews, it is concluded that the facility also runs an ABA program that provides specialized care, such as speech therapies, Behavioral Health, and Occupational Therapy. Due to the behavioral therapist program, the facility has preschool teachers and RBTs (Registered Behavioral Therapists) associated with each class. Interviews revealed that there were numerous instances where RBTs were left alone in the classrooms and the facility administration was aware of it, which concludes that the facility has unqualified staff. The preponderance of evidence standard has been met; therefore, the allegation is found to be SUBSTANTIATED. California Code of Regulations, {Title 22, Division 12, Chapter 1, Section 101216.1(b)(1) is being cited on the attached LIC 9099D
Appeal rights were given.
A notice of site visit was posted and must remain posted for a period of 30 days.
An exit interview was conducted with Director Charlene Sigman and Curriculum Coordinator Lupe Hernandez.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024
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 5
Control Number 52-CC-20240131140041
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: SCHOOL OF IMAGINATION
FACILITY NUMBER: 013420914
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/27/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/02/2024
Section Cited
CCR
101216.1(b)(1)
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101216.1(b)(1)Teacher Qualifications and Duties
b) Prior to employment, a teacher shall meet the requirements of (b)(1) below:
(1) A teacher shall have completed, with passing grades, at least six postsecondary semester or equivalent quarter units....... obtained a Child Development Assistance Permit issued by the California Commission on Teacher Credentialing.
This requirement is not met as evidenced by:


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The director shall submit a written plan detailing how the facility will ensure a qualified teacher in each classroom by the POC date.
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Based on observations, interviews, and record reviews, the Licensee did not comply with the section cited above. The RBTs who do not have teacher qualifications are left alone in the classrooms which poses a potential risk to the health, safety, and personal rights of the 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: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024
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
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
01/31/2024 and conducted by Evaluator Jyoti Saini
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20240131140041

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: 71DATE:
03/27/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Director, Charlene Sigman and Curriculum Coordinator Lupe, HernandezTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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2
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9
-Facility staff are not being adequately supervising day care children.
INVESTIGATION FINDINGS:
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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 Curriculum Coordinator Lupe Hernandez and explained the purpose of the inspection. The director, Curriculum Coordinator, 27 fingerprint-cleared and associated staff members, and 71 children in care were present for today's visit.
Based on the interviews, observations and record review, LPA has determined that each classroom is adequately staffed to support and supervise 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 Representatives, Charlene Sigman and Lupe Hernandez.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024
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
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
01/31/2024 and conducted by Evaluator Jyoti Saini
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20240131140041

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: 71DATE:
03/27/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Director, Charlene Sigman and Curriculum Coordinator Lupe, HernandezTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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2
3
4
5
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9
-Facility staff handled day care children in a rough manner.
INVESTIGATION FINDINGS:
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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 Curriculum Coordinator Lupe Hernandez and explained the purpose of the inspection. The director, Curriculum Coordinator, 27 fingerprint-cleared and associated staff members, and 71 children in care were present for today's visit.
Based on the interviews, observations and record review, LPA discovered an incident was brought to management's attention in which S1 roughly disciplined the child. Furthermore, on 12/19/2023, during circle time, The curriculum coordinator also witnessed S1 using physical force to discipline the child, violating the children's personal rights. which concludes that Facility staff handled day care children in a rough manner. The preponderance of evidence standard has been met; therefore, the allegation is found to be SUBSTANTIATED. California Code of Regulations, {Title 22, Division 12, Chapter 1, Section 101223(a)(1) is being cited on the attached LIC 9099D
Appeal rights were given.
A notice of site visit was posted and must remain posted for a period of 30 days.
An exit interview was conducted with Director Charlene Sigman and Curriculum Coordinator Lupe Hernandez.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 52-CC-20240131140041
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: SCHOOL OF IMAGINATION
FACILITY NUMBER: 013420914
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/27/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/02/2024
Section Cited
CCR
101223(a)(1)
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101223 (a)(1) Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights:(1) To be accorded dignity in his/her personal relationships with staff and other persons.
This requirement is not met as evidenced by:



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The director and staff shall watch the Personal Rights Video on the CCLD website and formulate a plan to ensure children's safety. The facility shall submit a proof of staff meeting with discussed agenda points and staff attendance.
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Based on observations, interviews, and record reviews, the Licensee did not comply with the section cited above. The facility is aware of incidents where the child(ren) were disciplined, roughly, violating the children's personal rights.
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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: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5