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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013422062
Report Date: 04/14/2023
Date Signed: 04/14/2023 06:08:07 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
04/11/2023 and conducted by Evaluator Simerjit Kaur
COMPLAINT CONTROL NUMBER: 52-CC-20230411141533

FACILITY NAME:PRIMROSE SCHOOL OF LIVERMOREFACILITY NUMBER:
013422062
ADMINISTRATOR:GUPTA, SHUBRAFACILITY TYPE:
830
ADDRESS:2901 LAS POSITAS RDTELEPHONE:
(925) 215-7372
CITY:LIVERMORESTATE: CAZIP CODE:
94551
CAPACITY:45CENSUS: DATE:
04/14/2023
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Shubra GuptaTIME COMPLETED:
06:20 PM
ALLEGATION(S):
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Facility is operating out of ratio.
INVESTIGATION FINDINGS:
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On April 14, 2023, Licensing Program Analysts (LPA) Kaur arrived to the facility unannounced to conduct an investigation into the above allegation. LPA met with Director Shubra Gupta. Present during today's visit were 47 infant aged children and 10 staff members.
It was alleged that facility is operating out of ratio. During the investigation, LPA obsereved 13 children with 2 staff members in the toddler 2 classroom. Based on the LPA's investigation and observation, which were conducted, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be SUBSTANTIATED.
An exit interview was conducted and report is discussed. A copy of appeal rights was provided.
A SITE VISIT NOTICE WAS PROVIDED.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Simerjit Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2023
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-20230411141533
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: PRIMROSE SCHOOL OF LIVERMORE
FACILITY NUMBER: 013422062
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/14/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/24/2023
Section Cited
CCR
101416.5(b)1(A)
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There shall be a ratio of one teacher for every four infants in attendance.
(1) An aide may be substituted for a teacher when all of the following conditions are met:
(A) There is a fully qualified teacher directly supervising no more than 12 infants; and
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POC: By 4/24/23, Director shall submit written to ensure ratio of one teacher for every four infants in attendance.
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This requirement was not met based upon observation the toddler 2 classroom had 13 children. This poses a potential safety risk to children in care.
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Repeat violations are $250 and if not corrected $100 a day.
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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: Jason Jang
LICENSING EVALUATOR NAME: Simerjit Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2023
LIC9099 (FAS) - (06/04)
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