013421388-6-15-2023-52-CC-CCHS-CU2QPN-20230724122100

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 013421388
Report Date: 06/15/2023
Date Signed: 06/15/2023 10:38:01 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
04/26/2023 and conducted by Evaluator Lorraine Dacanay-Breaux

COMPLAINT CONTROL NUMBER: 52-CC-20230426103004

FACILITY NAME:	PRIMROSE SCHOOL OF PLEASANTON		FACILITY NUMBER:	013421388
ADMINISTRATOR:	NICOLE CUSTINO		FACILITY TYPE:	850
ADDRESS:	7110 KOLL CENTER PARKWAY		TELEPHONE:	(925) 600-7745
CITY:	PLEASANTON	STATE: CA	ZIP CODE:	94566
CAPACITY:	112	CENSUS: 80	DATE:	06/15/2023
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Nicole Custino		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

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9

Neglect/Lack of supervising

INVESTIGATION FINDINGS:

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13

At approximately 09:15 AM, Licensing Program Analyst (LPA) Lorraine Dacanay Breaux met with Director Nicole Custino to deliver findings for a complaint that was received against the facility alleging "staff not supervising daycare children resulting in wood chips in their mouth". During LPA's visits at the facility was inspected. Present during today's visit were eighty (80) pre-school age children and twelve (12) staff. LPA obtained the personnel and children's roster.

During the course of LPA's investigation interviews were conducted, LPA toured the facility and obtained facility documents and conducted file reviews. LPA determined 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 UNSUBSTANTIATED.

A notice of site visit was given must remain posted for 30 days. Appeal Rights provided. Exit interview conducted and report was reviewed with Director, Nicole Custino.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:	DATE: 06/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2023

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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