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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 015700621
Report Date: 12/11/2025
Date Signed: 12/11/2025 02:12:50 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
10/27/2025 and conducted by Evaluator Jyoti Saini
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20251027093642

FACILITY NAME:BUILDING KIDZ OF DUBLIN WESTFACILITY NUMBER:
015700621
ADMINISTRATOR:MUAZZAMA QURASHYFACILITY TYPE:
860
ADDRESS:7421 AMARILLO ROADTELEPHONE:
(925) 261-4193
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY:24CENSUS: 12DATE:
12/11/2025
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Facility representative Carol AbeTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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-Staff are feeding day care children spoiled food while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jyoti Saini arrived unannounced to deliver the findings from a complaint investigation for the above allegation. LPA met with Facility representative Carol Abe and explained the purpose of the inspection. Present for today's visit, there were facility representative , and 3 fingerprint-cleared and associated staff members, and 12 children( 9 preschoolers and 3 toddlers) in care.
Based on the interview, the facility revealed that the food had been prepared using spoiled sauce. Upon discovering the issue, the contaminated food was discarded, and a new batch was prepared. However, interview also revealed that one classroom had already been served the spoiled food, and children had consumed approximately one or two spoonsful therefore, the allegation is found to be SUBSTANTIATED. California Code of Regulations, {Title 22, Division 12, Chapter 1, Section 101227(a)(1) is being cited on the attached LIC 9099D.

Appeal rights were given and an exit interview was conducted with facility representative Carol Abe.

Notice of site visit was provided and must be posted for 30 days.

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

DATE: 12/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2025
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-20251027093642
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 WEST
FACILITY NUMBER: 015700621
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/11/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/19/2025
Section Cited
CCR
101227(a)(1)
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1012279(a)(1)Food Services (a) In child care centers providing meals to children, the following shall apply:(1)All food shall be safe and of the quality and in the quantity necessary to meet the needs of the children. Each meal shall include, at a minimum, the amount of food components as specified by Title 7, Code of Federal Regulations, Part 226.20, (Revised January 1, 1990) Requirements for Meals, for the age group served. All food shall be selected, stored, prepared and served in a safe and healthful manner.
This requirement is not met as evidenced by:
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The facility shall ensure that all food provided to children is prepared only with clean and uncontaminated ingredients. Effective immediately, facility shall complete a daily food-prep checklist before each meal service, and the director will review and sign the checklist weekly to verify compliance. The completed documentation shall be submitted to CCLD for review and approval.
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Based on observations, interviews, and record reviews, the Licensee did not comply with the cited section. The food served to the children was prepared using contaminated ingredients, which poses a potential 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: 12/11/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2025
LIC9099 (FAS) - (06/04)
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