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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073408291
Report Date: 09/07/2023
Date Signed: 09/07/2023 01:41:25 PM

Unsubstantiated


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
08/02/2023 and conducted by Evaluator Monica Mathur
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20230802132306

FACILITY NAME:KID TIME, INCFACILITY NUMBER:
073408291
ADMINISTRATOR:FARRELL, STRETTAFACILITY TYPE:
850
ADDRESS:2491 SAN MIGUEL DR.TELEPHONE:
(925) 987-6713
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94596
CAPACITY:45CENSUS: DATE:
09/07/2023
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Streeta Farrell/Tessa ClemensTIME COMPLETED:
12:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Lack of supervision outdoors resulting in inappropriate activity between children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 9/7/23 Licensing Program Analyst (LPA) Monica Mathur conducted an unannounced Subsequent Complaint Investigation at KId Time Inc. and met with Director, Streeta Farrell. Complainant alleges that lack of supervision outdoors resulted in inappropriate activity between children.

During course of investigation LPA conducted facility inspection, observations, record review, interviews and obtained documents. It could not be determined any incident took place involving inappropriate behavior among children as a result of lack of supervision.

Based on the interviews and information obtained throughout the investigation, the allegation is UNSUBSTANTIATED which means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. No Deficiency has been cited for this allegation. Exit interview conducted with Director, Streeta Farrell.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 DAYS.


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2023
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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