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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414004662
Report Date: 08/29/2024
Date Signed: 12/05/2024 04:51:26 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/22/2024 and conducted by Evaluator Maria Olguin-Leon
COMPLAINT CONTROL NUMBER: 05-CC-20240822134159
FACILITY NAME:KIDS KONNECT INFANT CARE & PRESCHOOLFACILITY NUMBER:
414004662
ADMINISTRATOR:NASIRIPOUR, YASHAFACILITY TYPE:
830
ADDRESS:1968 OLD COUNTY ROADTELEPHONE:
(650) 306-1780
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94062
CAPACITY:24CENSUS: 14DATE:
08/29/2024
UNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Yasha NasiripourTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Facility did not report incident in timely manner
INVESTIGATION FINDINGS:
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*************** THIS IS AN AMENDED REPORT FROM ORIGINAL DATED 08/29/2024 *********************
On August 29, 2024 at 9:35 am, Licensing Program Analyst (LPAs) Maria Olguin-Leon and Luis Gomez met with Lisandra Galeana. The purpose of visit was explained and was to conducted an unannounced initial 10-day complaint inspection. Present were 4 staff supervising 14 children. Program Director, Yasha Nasiripour arrived during inspection. LPAs inspected facility for Health and Safety Hazards.

During inspection, LPAs conducted observation, record review, and interviewed staff.

During the course of this investigation, LPA performed observations on 8/29/2024. Review of facility record was also complete, and included the guardian/ children roster, parent handbook, and sign-in sheets. Interviews were conducted with Program Director, Staff, and Involved Parties. (REFER TO 9099C, FOR CONT.)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carol Marcroft
LICENSING EVALUATOR NAME: Cindy Interiano
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2024
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 3
Control Number 05-CC-20240822134159
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: KIDS KONNECT INFANT CARE & PRESCHOOL
FACILITY NUMBER: 414004662
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/29/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
09/03/2024
Section Cited
CCR
101212(d)(1)(E)
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101212(d)(1)(E) Reporting Requirements; (d)Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. (1) Events reported shall include the following: (E) Epidemic outbreaks.

This requirement has not been met as is evident:
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Facility will submit updated plan, ensuring the occurrence of outbreaks are reported to the Department by the due date: 8/29/2024.

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Based on evidence collected, LPA confirm outbreak of lice in infant classroom was not reported to the Department. This poses a potential health and safety risk to children in care.
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Proof of correction will be submitted to the Department via email.
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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: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 05-CC-20240822134159
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: KIDS KONNECT INFANT CARE & PRESCHOOL
FACILITY NUMBER: 414004662
VISIT DATE: 08/29/2024
NARRATIVE
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(Page 2)

Although the allegation of reporting requirements may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation are UNSUBSTANTIATED.

Amended report is provided to Licensee for signature. Original signature on file. Report must be made available for public review upon request. A copy of this report and rights to comment and appeal have been discussed with the Director and left with the Director. Notice of Site Visit shall remain posted for 30 days
SUPERVISORS NAME: Carol Marcroft
LICENSING EVALUATOR NAME: Cindy Interiano
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3