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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013421981
Report Date: 07/25/2024
Date Signed: 07/25/2024 05:10:16 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
06/17/2024 and conducted by Evaluator April Wright
COMPLAINT CONTROL NUMBER: 52-CC-20240617133613
FACILITY NAME:DANIEL CHRISTIAN ACADEMYFACILITY NUMBER:
013421981
ADMINISTRATOR:KONG, DANFACILITY TYPE:
850
ADDRESS:39608 SUNDALE DR #2TELEPHONE:
(510) 516-7608
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY:80CENSUS: 42DATE:
07/25/2024
UNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Dan KongTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Personal Rights - Staff handled day-care child in a rough manner resulting in injury.
INVESTIGATION FINDINGS:
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On July 25th, 2024 at approximately 10:05am, Licensing Program Analyst (LPA) April Wright met with Center Director Dan Kong for an unannounced complaint inspection. The purpose of the inspection is provide the complaint investigation findings. Present during the inspection were 42 preschool age children and 10 fingerprint cleared staff personnel at the facility. A health and safety inspection was conducted by the LPA.
During the course of the investigation, LPA interviewed staff personnel regarding personal rights and supervision concerns at the facility. LPA reviewed all documentation that was received and obtained.

The Complaint alleges a child’s Personal Right’s was violated – Staff handled day-care child in a rough manner resulting in injury. This agency has investigated this complaint.

See LIC9099C for continuance.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2024
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 3
Control Number 52-CC-20240617133613
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: DANIEL CHRISTIAN ACADEMY
FACILITY NUMBER: 013421981
VISIT DATE: 07/25/2024
NARRATIVE
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LPA reviewed photographs received during the investigation, that showed injuries received when S2 grabbed the child as stated by Reporting Party (RP) during interview with LPA, that S2 made C1 "forcefully do an activity".

S2 verbally admitted during the Interview by the LPA that they indeed grabbed the child but did not check to see if the child had any injury at time of incident. RP noticed injury upon pick up and met with S1 the following day.

Based on admission of the allegation, photographs received and reviewed and interviews that were conducted by the LPA, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 Chapter 1 Article 06 Section 101223(a)(3) is being cited as a Type A Violation ,see attached LIC 9099D. LPA provided LIC9224 Center Director to give to current families by 7/26/24 and all new families for 12 months, effective 7/25/24. This report must remain on file for three years.


Exit interview was conducted with Center Director Dan Kong. Appeal rights were given and discussed.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 52-CC-20240617133613
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: DANIEL CHRISTIAN ACADEMY
FACILITY NUMBER: 013421981
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/25/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/25/2024
Section Cited
CCR
101223(a)(3)
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Personal Rights (a)The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature
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Center Director will organize a training day that will have staff and school board review the LIC613A Personal Rights in Child care center by 7/26/24 and provide proof to the
LPA.
LPA may attend meeting scheduled by Center Director.
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This was evidenced by:

During staff interviews, by verbal admission confirmed that the action and injuries had occurred, which pose an immediate risk to the health, safety or personal rights to 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: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3