013422414-11-17-2021-02-CC-LDYN-C942F9-20211124162111

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 013422414
Report Date: 11/17/2021
Date Signed: 11/17/2021 04:59:04 PM

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
08/27/2021 and conducted by Evaluator Phyllis Dyer

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20210827132838

FACILITY NAME:	PRIDE IN LEARNING MONTESSORI SCHOOL		FACILITY NUMBER:	013422414
ADMINISTRATOR:	LEON, DARA & LAMB, AMBER		FACILITY TYPE:	850
ADDRESS:	1330 LAKESHORE AVE.		TELEPHONE:	(707) 603-9257
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94606
CAPACITY:	17	CENSUS: 17	DATE:	11/17/2021
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Amber Lamb		TIME COMPLETED:	05:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Inappropriate Form of discipline.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst Lisa Dyer met with Director Amber Lamb to provide the results of the above allegation. Present is the director, 1 staff member and 17 preschool children.

LPA investigated the allegation of Inappropriate form of discipline. During the course of the investigation, interviews were conducted. As a form of discipline, a child had been denied snack because they were crying when it was served. Although it was not the staff member's intent, denying snack to a child, while giving it to others is a violation of the child's personal rights. Based interviews which were conducted, 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), is being cited on the attached LIC 9099D,, and must be corrected by the due date. Exit interview conducted. Licensee received a copy of their appeal rights. This report must be kept available for public review for 3 years. Notice of site visit was posted at the time of the inspection and must remain posted for 30 days.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Phyllis Dyer
LICENSING EVALUATOR NAME: Phyllis Dyer
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2021

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 12

Control Number 02-CC-20210827132838

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: PRIDE IN LEARNING MONTESSORI SCHOOL	FACILITY NUMBER: 013422414
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/17/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 12/08/2021 Section Cited CCR 101223(a)(3)	1 2 3 4 5 6 7	Personal Rights. The licensee shall ensure that each child is accorded... personal rights…free from corporal or unusual punishment... humiliation, intimidation, ridicule, coercion, threat...or other actions of a punitive nature including...interference with functions of daily living including eating, sleeping or toileting….	1 2 3 4 5 6 7	Director states that she will serve snack to each child every day, and will provide a Snack Log for a 2 week period to LPA by the POC due date. All staff shall view the Personal Rights Video on the Community Care Licensing website. Director shall provide a statement as to how children’s personals rights will not be violated by the facility.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by interview. Based on interview, child was denied snack as a form of punishment while other children were served. This poses a potential health risk to the Personal Rights of children in care.	8 9 10 11 12 13 14	Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Phyllis Dyer
LICENSING EVALUATOR NAME: Phyllis Dyer
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 12

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
08/27/2021 and conducted by Evaluator Phyllis Dyer

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20210827132838

FACILITY NAME:	PRIDE IN LEARNING MONTESSORI SCHOOL		FACILITY NUMBER:	013422414
ADMINISTRATOR:	LEON, DARA & LAMB, AMBER		FACILITY TYPE:	850
ADDRESS:	1330 LAKESHORE AVE.		TELEPHONE:	(707) 603-9257
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94606
CAPACITY:	17	CENSUS: 17	DATE:	11/17/2021
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Amber Lamb		TIME COMPLETED:	05:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff call day care children names.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst Lisa Dyer met with Director Amber Lamb to provide the results of the above allegation. Present is the director, 1 staff member and 17 preschool children.
LPA investigated the allegation of Staff call day care children names. During the course of the investigation, interviews were conducted. Staff deny that children were called names. Some children may have been called nicknames, but if they did not like the nickname, teachers did not use it. It cannot be proven or disproven that the allegation did occur.
Although the allegation of Staff call day care children names 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 results are UNSUBSTANTIATED. Exit interview conducted. Appeal rights were discussed and given. This report must be kept available for public review for 3 years. Notice of Site Visit was posted.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Phyllis Dyer
LICENSING EVALUATOR NAME: Phyllis Dyer
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 3 of 12

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
08/27/2021 and conducted by Evaluator Phyllis Dyer

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20210827132838

FACILITY NAME:	PRIDE IN LEARNING MONTESSORI SCHOOL		FACILITY NUMBER:	013422414
ADMINISTRATOR:	LEON, DARA & LAMB, AMBER		FACILITY TYPE:	850
ADDRESS:	1330 LAKESHORE AVE.		TELEPHONE:	(707) 603-9257
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94606
CAPACITY:	17	CENSUS: 17	DATE:	11/17/2021
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Amber Lamb		TIME COMPLETED:	05:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff yell at day care children.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Phyllis Dyer
LICENSING EVALUATOR NAME: Phyllis Dyer
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2021

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 12

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
08/27/2021 and conducted by Evaluator Phyllis Dyer

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20210827132838

FACILITY NAME:	PRIDE IN LEARNING MONTESSORI SCHOOL		FACILITY NUMBER:	013422414
ADMINISTRATOR:	LEON, DARA & LAMB, AMBER		FACILITY TYPE:	850
ADDRESS:	1330 LAKESHORE AVE.		TELEPHONE:	(707) 603-9257
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94606
CAPACITY:	17	CENSUS: 17	DATE:	11/17/2021
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Amber Lamb		TIME COMPLETED:	05:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Incomplete staff files.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst Lisa Dyer met with Director Amber Lamb to provide the results of the above allegation. Present is the director, 1 staff member and 17 preschool children.
LPA investigated the allegation of Incomplete staff files. Files were found to be incomplete. Based on record reviews which were conducted, 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), are being cited on the attached LIC 9099D.
Exit interview conducted. Licensee received a copy of their appeal rights. This report must be kept available for public review for 3 years. Notice of site visit was posted at the time of the inspection and must remain posted for 30 days.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Phyllis Dyer
LICENSING EVALUATOR NAME: Phyllis Dyer
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 5 of 12

Control Number 02-CC-20210827132838

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: PRIDE IN LEARNING MONTESSORI SCHOOL	FACILITY NUMBER: 013422414
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/17/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 12/08/2021 Section Cited CCR 101217(a)	1 2 3 4 5 6 7	The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information….	1 2 3 4 5 6 7	Director states that she will have complete adult records for all employees by the POC due date.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by document review. Licensee did not have complete personnel records for all employees in file. This poses a potential health risk to the health and safety of children in care.	8 9 10 11 12 13 14	Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Phyllis Dyer
LICENSING EVALUATOR NAME: Phyllis Dyer
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2021

LIC9099 (FAS) - (06/04)

Page: 6 of 12

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
08/27/2021 and conducted by Evaluator Phyllis Dyer

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20210827132838

FACILITY NAME:	PRIDE IN LEARNING MONTESSORI SCHOOL		FACILITY NUMBER:	013422414
ADMINISTRATOR:	LEON, DARA & LAMB, AMBER		FACILITY TYPE:	850
ADDRESS:	1330 LAKESHORE AVE.		TELEPHONE:	(707) 603-9257
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94606
CAPACITY:	17	CENSUS: 17	DATE:	11/17/2021
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Amber Lamb		TIME COMPLETED:	05:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff force children to sit on potty for long periods of time.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst Lisa Dyer met with Director Amber Lamb to provide the results of the above allegation. Present is the director, 1 staff member and 17 preschool children. LPA investigated the allegation of Staff force children to sit on potty for long periods of time. Interviews were conducted. Staff state that their Potty Training is standard practice for preschool children, and that children were not placed on the potty for long periods of time. Potty training is included in the handbook. Children were too young to be interviewed.
Although the allegation of Staff force children to sit on potty for long periods of time 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 results are UNSUBSTANTIATED. Exit interview conducted. Appeal rights were discussed and given. This report must be kept available for public review for 3 years. Notice of Site Visit was posted.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Phyllis Dyer
LICENSING EVALUATOR NAME: Phyllis Dyer
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 7 of 12

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
08/27/2021 and conducted by Evaluator Phyllis Dyer

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20210827132838

FACILITY NAME:	PRIDE IN LEARNING MONTESSORI SCHOOL		FACILITY NUMBER:	013422414
ADMINISTRATOR:	LEON, DARA & LAMB, AMBER		FACILITY TYPE:	850
ADDRESS:	1330 LAKESHORE AVE.		TELEPHONE:	(707) 603-9257
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94606
CAPACITY:	17	CENSUS: 17	DATE:	11/17/2021
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Amber Lamb		TIME COMPLETED:	05:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Cleaning solutions are accessible to children.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst Lisa Dyer met with Director Amber Lamb to provide the results of the above allegation. Present is the director, 1 staff member and 17 preschool children. LPA investigated the allegation of Cleaning solutions are accessible to children. A tour of the facility was conducted. LPA Colson observed a bottle of shampoo, liquid Drano and liquid dish detergent in a closed lower cabinet accessible to children. This was pointed out the director and the items were immediately removed.
Based on observation and interviews which were conducted, 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), are being cited on the attached LIC 9099D, and must be corrected by the due date. Exit interview conducted. Licensee received a copy of their appeal rights. This report must be kept available for public review for 3 years. Notice of site visit was posted at the time of the inspection and must remain posted for 30 days.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Phyllis Dyer
LICENSING EVALUATOR NAME: Phyllis Dyer
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 9 of 12

Control Number 02-CC-20210827132838

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: PRIDE IN LEARNING MONTESSORI SCHOOL	FACILITY NUMBER: 013422414
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/17/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 12/08/2021 Section Cited CCR 101238(g)	1 2 3 4 5 6 7	Buildings and Grounds. Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.	1 2 3 4 5 6 7	Director immediately removed the items from the closed cabinet. Citation cleared. Director was asked to tour the facility to ensure that no other items that could pose a danger were accessible to children.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by observation and director interview: Items that could pose a danger to children were accessible in a lower closed cabinet.	8 9 10 11 12 13 14	Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Phyllis Dyer
LICENSING EVALUATOR NAME: Phyllis Dyer
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2021

LIC9099 (FAS) - (06/04)

Page: 10 of 12

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
08/27/2021 and conducted by Evaluator Phyllis Dyer

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20210827132838

FACILITY NAME:	PRIDE IN LEARNING MONTESSORI SCHOOL		FACILITY NUMBER:	013422414
ADMINISTRATOR:	LEON, DARA & LAMB, AMBER		FACILITY TYPE:	850
ADDRESS:	1330 LAKESHORE AVE.		TELEPHONE:	(707) 603-9257
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94606
CAPACITY:	17	CENSUS: 17	DATE:	11/17/2021
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Amber Lamb		TIME COMPLETED:	05:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

There are safety hazards in the facility.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst Lisa Dyer met with Director Amber Lamb to provide the results of the above allegation. Present is the director, 1 staff member and 17 preschool children. LPA investigated the allegation of There are safety hazards at the facility. A tour of the facility was conducted. LPAs observed an outlet that was not childproofed in the facility. This was pointed out to the director and discussed in detail. Based on observation and interviews which were conducted, 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), are being cited on the attached LIC 9099D, and must be corrected by the due date. Exit interview conducted. Licensee received a copy of their appeal rights. This report must be kept available for public review for 3 years. Notice of site visit was posted at the time of the inspection and must remain posted for 30 days.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Phyllis Dyer
LICENSING EVALUATOR NAME: Phyllis Dyer
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 11 of 12

Control Number 02-CC-20210827132838

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: PRIDE IN LEARNING MONTESSORI SCHOOL	FACILITY NUMBER: 013422414
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/17/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 12/08/2021 Section Cited CCR 101238(b)(1)	1 2 3 4 5 6 7	Buildings and Grounds. 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…All children shall be protected against hazards within the center…..	1 2 3 4 5 6 7	Director must tour facility to ensure that all outlets are childproofed and there are no hazards within the center.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by observation and director interview. LPAs observed an outlet that was not childproofed in the facility. This poses an immediate health risk to the health and safety to children in care.	8 9 10 11 12 13 14	Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Phyllis Dyer
LICENSING EVALUATOR NAME: Phyllis Dyer
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2021

LIC9099 (FAS) - (06/04)

Page: 12 of 12