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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434400296
Report Date: 05/22/2024
Date Signed: 05/23/2024 02:46:19 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 STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/17/2024 and conducted by Evaluator Manel Estoesta
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20240517133719
FACILITY NAME:CHILDREN'S PRE-SCHOOL CENTER, THEFACILITY NUMBER:
434400296
ADMINISTRATOR:OLLIA YENIKOMSHIANFACILITY TYPE:
850
ADDRESS:4000 MIDDLEFIELD ROAD T-1TELEPHONE:
(650) 493-5770
CITY:PALO ALTOSTATE: CAZIP CODE:
94303
CAPACITY:112CENSUS: 75DATE:
05/22/2024
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Executive Director Ollia YenikomshiaTIME COMPLETED:
04:50 PM
ALLEGATION(S):
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1. Lack of Supervision - A preschool child was left without a staff supervision for 2 minutes.
INVESTIGATION FINDINGS:
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On 5/22/2024 at 11 am, Licensing Program Analyst (LPA) Manel Estoesta conducted a Complaint Investigation. LPA met with Executive Director Ollia Yenikomshia and explained the nature of the visit. Present on this visit were 75 preschool children and 14 Teachers at the time LPA's arrival.

Findings were delivered on this visit.

Reporting Party (RP) alleges that a preschool child was left without a staff supervision for 2 minutes and Staff failed to follow reporting requirements.

LPA toured the facility with the Executive Director. LPA reviewed Staff Sign In and Sign Out, and today's children's Sign In records. LPA conducted a Record Review and Staff Interview.
Substantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2024
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 6
Control Number 52-CC-20240517133719
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 STE 1102
OAKLAND, CA 94612
FACILITY NAME: CHILDREN'S PRE-SCHOOL CENTER, THE
FACILITY NUMBER: 434400296
VISIT DATE: 05/22/2024
NARRATIVE
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Based on the LPA Record Review, Unusual Incident Report (UIR) LIC 624 dated 5/17/2024, showed that on 5/9/2024 at 10am, C1 left unattended in a small room outside of C1's classroom corridor in between classroom and outdoor space for 2-3 minutes. The UIR copy was emailed to the Regional Office email on 5/19/2024 at 3:04 pm.

Based on LPA's Staff interview, on 5/9/2024 at 10am, S2 found C1 on top of a play structure, unsupervised, in the corridor right across of S2's room. S1 confirmed that C1 was left unattended for about 2-3 minutes. S2 informed S1 about the incident. The Executive Director was only informed a week later regarding the incident.

The preponderance of evidence standard has been met, therefore the above allegation is to be SUBSTANTIATED.



The Licensee were in violation of Section 101229 (a)(1) that no child shall be left without the supervision, including visual supervision, of a teacher at any time.

LPA Estoesta informed the Executive Director that this report dated 05/22/2024 included a Type A Citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA's informed Executive Director to provide a copy of this licensing report dated 5/22/2024 that documents of any Type A citation, to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report.



A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

For Child Care Transparency Website (Licensing Facility Inspection Reports), please follow the links below;
https://cdss.ca.gov/inforesources/community-care-licensing/facility-search-welcome
https://www.ccld.dss.ca.gov/carefacilitysearch/

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with Executive Director.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 6
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 STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/17/2024 and conducted by Evaluator Manel Estoesta
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20240517133719

FACILITY NAME:CHILDREN'S PRE-SCHOOL CENTER, THEFACILITY NUMBER:
434400296
ADMINISTRATOR:OLLIA YENIKOMSHIANFACILITY TYPE:
850
ADDRESS:4000 MIDDLEFIELD ROAD T-1TELEPHONE:
(650) 493-5770
CITY:PALO ALTOSTATE: CAZIP CODE:
94303
CAPACITY:112CENSUS: 75DATE:
05/22/2024
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Executive Director Ollia YenikomshiaTIME COMPLETED:
04:50 PM
ALLEGATION(S):
1
2
3
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5
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7
8
9
2. Reporting Requirements - Staff failed to follow reporting requirements.
INVESTIGATION FINDINGS:
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On 5/22/2024 at 11 am, Licensing Program Analyst (LPA) Manel Estoesta conducted a Complaint Investigation. LPA met with Executive Director Ollia Yenikomshia and explained the nature of the visit. Present on this visit were 75 preschool children and 14 Teachers.

Findings were delivered on this visit.

Reporting Party (RP) alleges that a preschool child was left without a staff supervision for 2 minutes and Staff failed to follow reporting requirements.

LPA toured the facility with the Executive Director. LPA reviewed Staff Sign In and Sign Out, and today's children's Sign In records. LPA conducted a Record Review and Staff Interview.
Substantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2024
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 6
Control Number 52-CC-20240517133719
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 STE 1102
OAKLAND, CA 94612
FACILITY NAME: CHILDREN'S PRE-SCHOOL CENTER, THE
FACILITY NUMBER: 434400296
VISIT DATE: 05/22/2024
NARRATIVE
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Based on the LPA Record Review, Unusual Incident Report (UIR) LIC 624 dated 5/17/2024, showed that on 5/9/2024 at 10am, C1 left unattended in a small room outside of C1's classroom corridor in between classroom and outdoor space for 2-3 minutes. The UIR copy was email to the Regional Office email on 5/19/2024 at 3:04 pm.

Based on LPA's Staff interview, on 5/9/2024 at 10am, S2 found C1 on top of a play structure, unsupervised, in the corridor right across of S2's room. S2 confirmed that C1 was left unattended for about 2-3 minutes. S2 informed S1 about the incident. The Executive Director was only informed a week later regarding the incident.

The preponderance of evidence standard has been met, therefore the above allegation is to be SUBSTANTIATED.



The Licensee were in violation of Section 101212(d) upon the occurrence, during the operation of the childcare 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.

For Child Care Transparency Website (Licensing Facility Inspection Reports), please follow the links below;
https://cdss.ca.gov/inforesources/community-care-licensing/facility-search-welcome
https://www.ccld.dss.ca.gov/carefacilitysearch/

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the Executive Director.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 52-CC-20240517133719
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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: CHILDREN'S PRE-SCHOOL CENTER, THE
FACILITY NUMBER: 434400296
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/29/2024
Section Cited
CCR
101212(d)(1)(2)
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Section 101212(d) upon the occurrence, during the operation of the childcare 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.
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A UIR copy was emailed to the Regional Office email on 5/19/2024 at 3:04 pm.
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This requirement is not met as evidenced by, LPA's Record Review, a UIR copy was email to the Regional Office email on 5/19/2024 at 3:04 pm with an lack of supervision incident that took placed on 5/9/2024 which pose an potential risk to the health, safety or personal rights to children in care.
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LPA provided a link of https://ccld.childcarevideos.org/child-care-center-operators/child-care-reporting-requirements/ as a refererence of Child Care Reporting Requirements.
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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: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 52-CC-20240517133719
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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: CHILDREN'S PRE-SCHOOL CENTER, THE
FACILITY NUMBER: 434400296
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/23/2024
Section Cited
CCR
101229(a)(1)
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Section 101229 (a)(1) that no child shall be left without the supervision, including visual supervision, of a teacher at any time.
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The Executive Director conducted a Staff meeting on 5/22/2024 at 6:15 pm. Part of the Agenda is Child's Supervision Topic.
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This requirement is not met as evidenced by, LPA Record Review, Unusual Incident Report (UIR) LIC 624 dated 5/17/2024, showed that on 5/9/2024 at 10am, C1 left unattended in a small room outside of C1's classroom corridor in between classroom and outdoor space for 2-3 minutes which pose an immediate risk to the health, safety or personal rights to children in care.
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LPA shall endrorse the facility the Technical Support Program (TSP) is the non-enforcement service of Community Care Licensing to help providers, and to the local Resource and Referral (R&R).
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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: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2024
LIC9099 (FAS) - (06/04)
Page: 6 of 6