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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073407411
Report Date: 09/03/2024
Date Signed: 09/03/2024 03:29:09 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 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
08/29/2024 and conducted by Evaluator Ashley Curry
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20240829135503
FACILITY NAME:KLA SCHOOLS OF WALNUT CREEKFACILITY NUMBER:
073407411
ADMINISTRATOR:ELIF KALKANFACILITY TYPE:
830
ADDRESS:298 N. WIGET LANETELEPHONE:
(925) 357-8080
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94598
CAPACITY:60CENSUS: 23DATE:
09/03/2024
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Elif KalkanTIME COMPLETED:
03:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff did not follow infant's individual feeding plan
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 09/03/2024 at 11:15 AM Licensing Program Analysts (LPAs) A. Curry and M. Caro conducted an unannounced complaint visit. LPA met with the Director, Elif Kalkan, to discuss the above allegation. LPAs toured the facility, retrieved documentation, and conducted interviews with staff. Based on the interviews it could not be determined that a staff did not follow an infant's individual feeding plan. All interviews revealed that all infants feeding needs are met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur. This allegation is Unsubstantiated.

Notice of site visit was given and must remain posted for 30 days.

Exit interview conducted, appeal rights were given, and report was reviewed with the Director, Elif Kalkan.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2024
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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