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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073407423
Report Date: 10/18/2022
Date Signed: 10/19/2022 02:40:49 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
09/22/2022 and conducted by Evaluator Cherie Acosta
COMPLAINT CONTROL NUMBER: 02-CC-20220922152646
FACILITY NAME:BABY YALE ACADEMYFACILITY NUMBER:
073407423
ADMINISTRATOR:MUAZZAMA(AFRIN) QURASHYFACILITY TYPE:
850
ADDRESS:5521 LONE TREE WAY STE100TELEPHONE:
(925) 308-7693
CITY:BRENTWOODSTATE: CAZIP CODE:
94513
CAPACITY:74CENSUS: 15DATE:
10/18/2022
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Lita ReevesTIME COMPLETED:
04:10 PM
ALLEGATION(S):
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Facility violated transportation section of admission agreement.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Cherie Acosta and Christina Watts conducted an unannounced visit to deliver findings on the above allegation. LPAs met with licensee, Lita Reeves. The director was not present during the visit.
During the investigation, LPAs conducted interviews. This facility provides transportation for C1. C1 is enrolled in kindergarten at an elementary school. On 9/19/22 C1 remained at Baby Yale Academy the entire day instead of being transported to school. On 9/21/22 the facility was late picking up C1. C1 was picked up by a parent. On 9/22/22 the facility was again late picking up C1 from school.
Based on interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is to be substantiated.
Exit interview and report reviewed with Lita Reeves.
Notice of Site Visit was provided and must be posted for 30 days.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2022
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 2
Control Number 02-CC-20220922152646
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: BABY YALE ACADEMY
FACILITY NUMBER: 073407423
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/18/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/01/2022
Section Cited
CCR
101219(f)
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Admission Agreements. The licensee shall comply with all terms and conditions set forth in the admission agreement. This requirement was not met as evidenced by: Facility failed to
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Licensee shall develop a written plan of action to ensure children are transported to and from school on time. Licensee shall submit a copy of the plan to CCL by 11/1/22.
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transport child to school and was late picking up child from school twice which poses a potential risk to the health and safety of 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: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2022
LIC9099 (FAS) - (06/04)
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