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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013422062
Report Date: 10/27/2023
Date Signed: 11/02/2023 02:50:54 PM

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
09/07/2023 and conducted by Evaluator Simerjit Kaur
COMPLAINT CONTROL NUMBER: 52-CC-20230907093309
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:62CENSUS: 28DATE:
10/27/2023
UNANNOUNCEDTIME BEGAN:
03:12 PM
MET WITH:Shubra GuptaTIME COMPLETED:
04:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff hit day care child.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On October 27, 2023, Licensing Program Analysts (LPAs) Simerjit Kaur and Morgan Pringle arrived to the facility unannounced to conduct an investigation into the above allegation. LPA met with Director Shubra Gupta and Assistant Director Elora Behgum. Present during today's visit were 28 infant aged children and 11 staff members.

During the course of the investigation LPA conducted interviews, observation and record review. It was alleged that staff hit day care child. Based on interviews conducted, 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.

Exit interview conducted. Appeal Rights provided. Notice of site visit issued.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Simerjit Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2023
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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