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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 070210326
Report Date: 12/17/2024
Date Signed: 12/17/2024 04:40:05 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
10/01/2024 and conducted by Evaluator Nyeesha Blount
COMPLAINT CONTROL NUMBER: 02-CC-20241001163618
FACILITY NAME:CITY OF EL CERRITO COMM. SVCS. - MADERAFACILITY NUMBER:
070210326
ADMINISTRATOR:SHUTE, SHERYLFACILITY TYPE:
840
ADDRESS:1500 DEVONSHIRETELEPHONE:
(510) 215-4392
CITY:EL CERRITOSTATE: CAZIP CODE:
94530
CAPACITY:32CENSUS: 25DATE:
12/17/2024
UNANNOUNCEDTIME BEGAN:
01:25 PM
MET WITH:SHUTE, SHERYLTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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9
Buildings and Grounds ~ Staff did not ensure the facility was free of pests.
INVESTIGATION FINDINGS:
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On December 17, 2024 at 1:25 PM Licensing Program Analyst (LPA) Nyeesha Blount, conducted an Unannounced Complaint site inspection to deliver complaint findings. LPA met with Director Shute, Sheryl who are background cleared. LPA advised Licensee of the nature of the inspection. Current Census today is 25 children which consists of (25) preschool children. LPA obtained a copy of the children's current roster, observations and staff interviews were conducted at the time of the inspection.


Based on LPA's observations which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations,101238 (a)(1) is being cited on the attached LIC 9099 D.
Substantiated
Estimated Days of Completion: 60
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Nyeesha Blount
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024
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
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
10/01/2024 and conducted by Evaluator Nyeesha Blount
COMPLAINT CONTROL NUMBER: 02-CC-20241001163618

FACILITY NAME:CITY OF EL CERRITO COMM. SVCS. - MADERAFACILITY NUMBER:
070210326
ADMINISTRATOR:SHUTE, SHERYLFACILITY TYPE:
840
ADDRESS:1500 DEVONSHIRETELEPHONE:
(510) 215-4392
CITY:EL CERRITOSTATE: CAZIP CODE:
94530
CAPACITY:32CENSUS: 25DATE:
12/17/2024
UNANNOUNCEDTIME BEGAN:
01:25 PM
MET WITH:SHUTE, SHERYLTIME COMPLETED:
05:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Other ~ Staff did not ensure the facility landline is not in disrepair.
INVESTIGATION FINDINGS:
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5
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7
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9
10
11
12
13
On December 17, 2024 at 1:25 AM Licensing Program Analyst (LPA) Nyeesha Blount, conducted an Unannounced Complaint site inspection to deliver complaint findings. LPA met with Director who are background cleared. LPA advised Licensee of the nature of the inspection. Current Census today is 25 children which consists of (25) preschool children. LPA obtained a copy of the children's current roster, observations and staff interviews were conducted at the time of the inspection.


Based on LPA's observations which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations,101224(a) is being cited on the attached LIC 9099 D.
Substantiated
Estimated Days of Completion: 60
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Nyeesha Blount
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024
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 02-CC-20241001163618
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: CITY OF EL CERRITO COMM. SVCS. - MADERA
FACILITY NUMBER: 070210326
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/17/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/17/2024
Section Cited
CCR
101224(a)
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101224 Telephones

(a) All child care centers shall have working telephone service on the premises.

This requirement has not been met as evidenced by:

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Center Director and Director will advise LPA of the working landline or alternative method by POC date of 12/19/24.
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Based on LPA's observations and verbal confirmation from Director and Center Director the facility does not a properly working landline in the facility. Which poses an immediate Health and Safety or Reporting Requirement risks to 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: Mayla Mendoza
LICENSING EVALUATOR NAME: Nyeesha Blount
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 02-CC-20241001163618
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: CITY OF EL CERRITO COMM. SVCS. - MADERA
FACILITY NUMBER: 070210326
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/17/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/17/2024
Section Cited
CCR
101238(a)(1)
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101238 Buildings and Grounds

(a) 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.

(1) The licensee shall take measures to keep the center free of flies, other insects, and rodents.


This requirement has not been met as evidenced by:

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LPA was advised that no one came out to spray the facility. Deep cleaning was conducted, door sweeps added to entrance and exit doors. Center Director advised they have seen any insects since then. POC not needed corrections have already been made since last visit.
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Based on LPA's observations and verbal confirmation from Director the facility has roaches in the classrooms and outside play yard and attached school classrooms. Which poses an potential Health and Safety or Reporting Requirement risks to the children in care.
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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: Mayla Mendoza
LICENSING EVALUATOR NAME: Nyeesha Blount
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4