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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 015700583
Report Date: 10/14/2025
Date Signed: 10/14/2025 12:59:21 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
04/16/2025 and conducted by Evaluator Jyoti Saini
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20250416091518
FACILITY NAME:BUILDING KIDZ OF DUBLINFACILITY NUMBER:
015700583
ADMINISTRATOR:SHUBRA GUPTAFACILITY TYPE:
850
ADDRESS:6351 DUBLIN BOULEVARDTELEPHONE:
(650) 777-5301
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY:60CENSUS: 16DATE:
10/14/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Interim director Amy Quintanar and Regional director, Eman IsbeihTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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-Questionable death of daycare child in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jyoti Saini and Licensing Program Manager (LPM) Wynn Norona arrived unannounced to deliver the findings from a complaint investigation for the above allegation. LPA and LPM met with interim Director Amy Quintanar and Regional Director, Eman Isbeih and explained the purpose of the inspection. Present during today’s visit, interim director and three (3) stafft members supervising 16 children.
Based on the record review, Investigation Bureau (IB) investigation, interviews including video surveillance, medical records, autopsy findings, and law enforcement reports, the allegation of questionable death is determined to be unsubstantiated leading to the conclusion that while the allegation may have occurred or is valid, there is no preponderance of evidence to prove the alleged violation.

Appeal Rights were provided.

An exit interview was conducted, and the report was reviewed with Regional Director, Eman Isbeih
A notice of site visit was posted and must remain posted for 30 days.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2025
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 4
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
04/16/2025 and conducted by Evaluator Jyoti Saini
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20250416091518

FACILITY NAME:BUILDING KIDZ OF DUBLINFACILITY NUMBER:
015700583
ADMINISTRATOR:SHUBRA GUPTAFACILITY TYPE:
850
ADDRESS:6351 DUBLIN BOULEVARDTELEPHONE:
(650) 777-5301
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY:60CENSUS: 16DATE:
10/14/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Interim director Amy Quintanar and Regional director, Eman IsbeihTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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-Staff did not provide adequate supervision to children in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jyoti Saini and Licensing Program Manager (LPM) Wynn Norona arrived unannounced to deliver the findings from a complaint investigation for the above allegation. LPA and LPM met with interim Director Amy Quintanar and Regional Director, Eman Isbeih and explained the purpose of the inspection. Present during today’s visit, interim director and three (3) staff members supervising 16 children.
Based on interviews, record reviews, physician’s interviews, video surveillance analysis, and staff interviews completed during the investigation completed by the Investigations Bureau (IB), it has been determined that the facility did not provide adequate supervision on April 15, 2025. Video footage confirmed that (C1) was lying on a cot positioned along the west wall of the classroom. At the time of the incident, the assigned staff member was located in the northeast corner of the room, redirecting the awake children. Video surveillance analysis also shows that the staff member was engaged in craft preparation and was not observed physically checking on the children. There were 14 children in the classroom with one staff member, two of whom were awake and not resting .
see next page..
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 52-CC-20250416091518
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: BUILDING KIDZ OF DUBLIN
FACILITY NUMBER: 015700583
VISIT DATE: 10/14/2025
NARRATIVE
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These two children were observed throughout the video as being active and mobile within the classroom. At one point, the staff member hung children’s artwork on the classroom windows directly above C1’s cot but did not notice that C1 was experiencing a medical emergency. Since the staff member was busy hanging art supplies and supervising children that were awake and active within the classroom, they were not able to properly supervise all of the children including the child that experienced a medical emergency during naptime which concluded that the staff did not provide adequate supervision for children in care. The preponderance of evidence standard has been met; therefore, the allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1, Section 101229(a)(1) is being cited on the attached LIC 9099D

A copy of this report and the LIC 9224 Acknowledgment of Receipt of Licensing Reports must be provided to the parents/guardians of currently enrolled children and all newly enrolled children for a period of 12 months following the date of this report. LIC 9224 must be signed within the next business day that children are in care and retained in each child’s file.

Approval for an enhanced civil penalty is under review.


Appeal rights were given.

An exit interview was conducted, and the report was reviewed with Regional director, Eman Isbeih.

A notice of site visit was posted and must remain posted for 30 days.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 52-CC-20250416091518
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: BUILDING KIDZ OF DUBLIN
FACILITY NUMBER: 015700583
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/14/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/15/2025
Section Cited
CCR
101229(a)(1)
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101229 Responsibility for Providing Care and Supervision
(a)The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
This requirement is not met as evidenced by:
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The facility shall submit a written plan to the Community Care Licensing Division (CCLD) outlining how staff will consistently ensure visual supervision of all children in care. All staff shall undergo mandatory training on Title 22 supervision requirements, with emphasis on always maintaining direct visual supervision, including during nap periods. The facility shall obtain staff signatures to confirm their understanding of the training. Additionally, all staff will be required to view the "Supervising Children in Child Care Centers" video available at ccld.childcarevideos.org and submit a written statement summarizing their understanding of proper supervision practices. These statements will be collected and submitted to CCLD by the Plan of Correction (POC) date.
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Based on interviews, and record reviews, the Licensee did not comply with the section cited above, as of April 15, 2025, the lack of visual supervision resulted in a delayed response to a medical emergency, which poses an immediate risk to the health, safety, and personal rights of the children in care.
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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: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4