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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013421334
Report Date: 01/16/2024
Date Signed: 01/16/2024 06:11:13 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
11/16/2023 and conducted by Evaluator Cherie Acosta
COMPLAINT CONTROL NUMBER: 02-CC-20231116160721
FACILITY NAME:DAISY CHILD DEVELOPMENT CENTERFACILITY NUMBER:
013421334
ADMINISTRATOR:HABIB, IRFANFACILITY TYPE:
850
ADDRESS:5016 DAISY STTELEPHONE:
(510) 531-6426
CITY:OAKLANDSTATE: CAZIP CODE:
94619
CAPACITY:71CENSUS: 35DATE:
01/16/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Feyrouze ChunaraTIME COMPLETED:
06:20 PM
ALLEGATION(S):
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Staff interrupted the sleep of napping day care children
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cherie Acosta conducted an unannounced visit to investigate the above allegation. LPA met with licensee Feyrouze Chunara.

During the investigation LPA conducted interviews. During interviews it was stated that staff roll children off their mats and onto the floor to wake them up.

Based interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is to be substantiated.
See 9099-D for deficiency cited.
Notice of Site Visit was provided and must be posted for 30 days.
Exit interview and report reviewed with Feyrouze Chunara.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2024
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 9
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
11/16/2023 and conducted by Evaluator Cherie Acosta
COMPLAINT CONTROL NUMBER: 02-CC-20231116160721

FACILITY NAME:DAISY CHILD DEVELOPMENT CENTERFACILITY NUMBER:
013421334
ADMINISTRATOR:HABIB, IRFANFACILITY TYPE:
850
ADDRESS:5016 DAISY STTELEPHONE:
(510) 531-6426
CITY:OAKLANDSTATE: CAZIP CODE:
94619
CAPACITY:35CENSUS: 35DATE:
01/16/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Feyrouze ChunaraTIME COMPLETED:
06:20 PM
ALLEGATION(S):
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9
Staff did not provide adequate food service to day care children
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cherie Acosta conducted an unannounced visit to investigate the above allegation. LPA met with licensee Feyrouze Chunara.

During the investigation LPA conducted interviews and reviewed the facility menu. Children bring their lunch from home. The facility provides snacks. The facility is not providing a serving of food from at least two food groups for every snack. During LPA's visit children were served apples for morning snack and carrots for afternoon snack. Afternoon snack was provided at 4:30pm.
See 9099-D for deficiency cited today.
Notice of Site Visit was provided and must be posted for 30 days.
Exit interview and report reviewed with Feyrouze Chunara.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2024
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 9
Control Number 02-CC-20231116160721
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: DAISY CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 013421334
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/16/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/23/2024
Section Cited
CCR
101227(a)4
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Food Services. In child care centers providing meals to children, the following shall apply: Between meals, snacks shall be available for all children unless the food a child may eat is limited by dietary restrictions prescribed by a physician.
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Licensee shall develop a written plan of action to ensure children are provided adequate snack. Licensee shall submit a copy of this plan to CCL by 1/23/24.
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Each snack shall include at least one serving from each of two or more of the four major food groups. This requirement was not met as evidenced by: the facility is not providing food from two separate food groups for snack which poses a potential risk to the health and safety of children in care
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• Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.

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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: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 9
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
11/16/2023 and conducted by Evaluator Cherie Acosta
COMPLAINT CONTROL NUMBER: 02-CC-20231116160721

FACILITY NAME:DAISY CHILD DEVELOPMENT CENTERFACILITY NUMBER:
013421334
ADMINISTRATOR:HABIB, IRFANFACILITY TYPE:
850
ADDRESS:5016 DAISY STTELEPHONE:
(510) 531-6426
CITY:OAKLANDSTATE: CAZIP CODE:
94619
CAPACITY:35CENSUS: 35DATE:
01/16/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Feyrouze ChunaraTIME COMPLETED:
06:20 PM
ALLEGATION(S):
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9
Facility operates out of ratio
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cherie Acosta conducted an unannounced visit to investigate the above allegation. LPA met with licensee Feyrouze Chunara.

During today's visit LPA observed the facility to be out of ratio with 2 teachers supervising 30 children.

Based on LPAs observation and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is to be substantiated.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 6 of 9
Control Number 02-CC-20231116160721
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: DAISY CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 013421334
VISIT DATE: 01/16/2024
NARRATIVE
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The attached type A violation is cited today and must be corrected by the due date. Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. All parents/guardians must sign an acknowledgement form of proof of receiving this report (LIC9224). The LIC 9224 must be placed in the child's file to be reviewed by licensing.

Notice of Site Visit was provided and must be posted for 30 days.

Exit interview and report reviewed with Feyrouze Chunara Habib.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2024
LIC9099 (FAS) - (06/04)
Page: 7 of 9
Control Number 02-CC-20231116160721
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: DAISY CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 013421334
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/16/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/17/2024
Section Cited
CCR
101216.3
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Teacher-Child Ratio. There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below.
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Licensee shall create a written plan of action to ensure the facility is in ratio at all times. Licensee shall submit the plan of action to CCL by 1/17/24.
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This requirement was not met as evidenced by: LPA observed 2 teachers supervising 30 children which is an immediate risk to the health and safety of children in care.
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• Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.

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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: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2024
LIC9099 (FAS) - (06/04)
Page: 8 of 9
Control Number 02-CC-20231116160721
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: DAISY CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 013421334
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/16/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/23/2024
Section Cited
CCR
101230(b)
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Activities. All children shall be given an opportunity to nap or rest without distraction or disturbance from other activities at the center.
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Licensee shall develop a written plan of action to ensure children are given an opportunity to sleep uninterrupted. Licensee shall submit the plan to CCL by 1/23/24.
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This requirement was not met as evidenced by: staff roll sleeping children off their mats to wake them up which is a potential risk to the health and safety or personal rights of children in care
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• Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.

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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: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2024
LIC9099 (FAS) - (06/04)
Page: 9 of 9