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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013423038
Report Date: 05/10/2023
Date Signed: 05/10/2023 12:34:56 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
04/24/2023 and conducted by Evaluator Julia Placencia
COMPLAINT CONTROL NUMBER: 52-CC-20230424101358

FACILITY NAME:SAFARI KID UNION CITYFACILITY NUMBER:
013423038
ADMINISTRATOR:TARUNKUMAR, DEEPAFACILITY TYPE:
850
ADDRESS:32462 & 32464 ALVARADO BLVDTELEPHONE:
(510) 386-7777
CITY:UNION CITYSTATE: CAZIP CODE:
94587
CAPACITY:126CENSUS: 63DATE:
05/10/2023
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Deepa TarunkumarTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Staff do not ensure floors are cleaned in a timely manner
INVESTIGATION FINDINGS:
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On May 10, 2023 at 8:50am, Licensing Program Analyst (LPA) Julia Placencia arrived unannounced to continued with the complaint investigation regarding the allegation above. LPA met with director Deepa Tarunkumar. Present today were 63 children and an additional 10 staff members.

During the course of the investigation, LPA toured the facility, conducted interviews with staff and reviewed documents. It's been disclosed that a child in the Curious Twiga class had vomited on the floor and it was not cleaned up in a timely manner.

Based on observations, interviews and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, Title 22 is being cited on the attached LIC 9099D. Failure to submit Proof of Corrections (POC) by Plan of Correction date may result in additional civil penalties. Exit interview conducted with director Deepa Tarunkumar. A Notice of Site Visit was provided and must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Julia Placencia
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2023
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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Control Number 52-CC-20230424101358
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: SAFARI KID UNION CITY
FACILITY NUMBER: 013423038
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/10/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/20/2023
Section Cited
CCR
101238(a)
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101238(a) 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.
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Director shall submit a plan detailing what steps will be taken to ensure the facility will always be in compliance with this regulation.
Submit by due date of 5/20/23
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This requirement is not met as evidenced by:
Based on interviews, vomiit was not cleaned up in a timely manner in the Curious Twiga classroom, which is a potential health and safety risk to children in care.
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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.

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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: Julia Placencia
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2023
LIC9099 (FAS) - (06/04)
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