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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013422034
Report Date: 04/22/2022
Date Signed: 04/22/2022 11:19:50 AM

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
04/15/2022 and conducted by Evaluator Ashley Curry
COMPLAINT CONTROL NUMBER: 02-CC-20220415083032
FACILITY NAME:WILDWOOD CHILDRENS SCHOOLFACILITY NUMBER:
013422034
ADMINISTRATOR:HA, TAEFACILITY TYPE:
850
ADDRESS:8 WILDWOOD AVE.TELEPHONE:
(510) 922-9197
CITY:OAKLANDSTATE: CAZIP CODE:
94610
CAPACITY:57CENSUS: 43DATE:
04/22/2022
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Tae HaTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff did not ensure facility was free from pests.
INVESTIGATION FINDINGS:
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On 04/22/2022 at 9:20 AM Licensing Program Analysts (LPA) A. Curry conducted an unannounced complaint investigation and toured the facility with director Jennelle Torres. LPA observed 9 staff and 43 children. The allegation is staff did not ensure facility was free from pests. The LPA toured the facility, reviewed records, and conducted interviews. It was determined through interviews that rodent dropping are present at the facility on a constant basis. The last pest control visit was on 02/24/2022. Owner stated the pest control service agency, which was hired in 10/2021, service was unsatisfactory, so new agency will be hired immediately. Based on the LPA’s interviews and record review the preponderance of evidence standard has been met. Therefore the above allegation is found to be SUBSTANTIATED.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2022
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 02-CC-20220415083032
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: WILDWOOD CHILDRENS SCHOOL
FACILITY NUMBER: 013422034
VISIT DATE: 04/22/2022
NARRATIVE
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Type A citation is being issued today. LPA informed facility representative Tae Ha that this report dated 04/22/2022 document(s) 1 Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA A. Curry informed the facility representative to provide a copy of this licensing report dated 04/22/2022 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

An exit interview was conducted with facility representative Tae Ha, appeal rights were given, and a copy of this report was provided to the licensee.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 02-CC-20220415083032
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: WILDWOOD CHILDRENS SCHOOL
FACILITY NUMBER: 013422034
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/22/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/29/2022
Section Cited
CCR
101238(a)(1)
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101238 Buildings and Grounds(a)The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. (1)The licensee shall take measures to keep the center free of flies, other insects, and rodents.

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By 04/29/2022 a written plan will be submitted to LPA on how the rodent infestation will be resolved.

Owner stated she will hire new pest contol service immediately.
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This requirement is not met as evidence by:

Based on interviews and record review the director did not ensure the facility is free of rodents. Rodent droppings are observed on a constant basis.
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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: Loretta Dyson
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3