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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434408035
Report Date: 11/13/2024
Date Signed: 11/13/2024 02:39:09 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
10/07/2024 and conducted by Evaluator Melanie Otsuji
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20241007171100

FACILITY NAME:AMES CHILD CARE CENTERFACILITY NUMBER:
434408035
ADMINISTRATOR:LAM, HENRYFACILITY TYPE:
850
ADDRESS:BLDG 270 R.T. JONES ROADTELEPHONE:
(650) 604-5100
CITY:MOFFETT FIELDSTATE: CAZIP CODE:
94035
CAPACITY:75CENSUS: 45DATE:
11/13/2024
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Lily TalamantesTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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- Outdoor play equipment is not age appropriate.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Melanie Otsuji arrived to the facility unannounced to conclude investigation into the above allegations. LPA was met by Director, Lily Talamantes. Also present during today's visit were 9 additional staff members and 45 preschool aged children.

Based on obesrvations and record review, the larger dirt king children's tricycles used on the younger preschool aged play yard is not age appropriate as manufacturer specifications state it is for ages 4-6 years. And although some children in the younger preschool aged classrooms may be tall enough, they are not old enough to utilize the tricycles per the manufacturer. Based on LPAs observations and record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Health and Safety Code 1596.80 is being cited on the attached LIC. 9099D.

An exit interview and report reviewed with Director, Lily Talamantes.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 52-CC-20241007171100
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: AMES CHILD CARE CENTER
FACILITY NUMBER: 434408035
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/13/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/27/2024
Section Cited
CCR
101239(m)
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Fixtures, Furniture, Equipment and Supplies. All play equipment and materials used by children shall be age-appropriate.

This requirement is not being met as evidence by: LPA observed Dirt King (DK-250-R) tricyles on the play yard.
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Director removed tricycles and placed them on the older preschool play yard.


Deficiency corrected during visit.
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Per manufacturer specifications, this particular model of tricyle is for ages 4-6. This play yard was for the younger preschoolers (2-3 year olds). This has the potential to be a health and safety risk to children in care.
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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: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4