434415327-10-25-2023-52-CC-WNOA-CX7NJK-20231102103025

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434415327
Report Date: 10/25/2023
Date Signed: 10/25/2023 04:31:21 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
10/23/2023 and conducted by Evaluator Melanie Otsuji

PUBLIC

COMPLAINT CONTROL NUMBER: 52-CC-20231023145010

FACILITY NAME:	STANFORD ARBORETUM CHILDREN'S CENTER		FACILITY NUMBER:	434415327
ADMINISTRATOR:	MARY ALLISON MONROE		FACILITY TYPE:	850
ADDRESS:	215 QUARRY ROAD		TELEPHONE:	(650) 725-6328
CITY:	STANFORD	STATE: CA	ZIP CODE:	94305
CAPACITY:	98	CENSUS: 83	DATE:	10/25/2023
		UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Mary Allison Monroe		TIME COMPLETED:	04:45 PM

ALLEGATION(S):

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- Facility was out of ratio during nap time.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Melanie Otsuji arrived to the facility unannounced to conduct the initial 10-day complaint investigation into the above allegation. LPA met with Assistant Director, Marsha Drew with Director Monroe arriving later in the day.. Also present during today's visit were 17 staff members and 83 preschool aged children.

LPA made observations and conducted interviews. It was noted that there has been at least one time where a child(ren) should have been napping or resting quietly on their mats but were up walking around due to not wanting to rest. During these times the classroom(s) were not in ratio. Based on LPAs observations and interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 & Chapter 1), are being cited on the attached LIC. 9099D.
Exit interview conducted with Director, Monroe. Appeal rights provided.

Substantiated

Estimated Days of Completion: 60

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2023

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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Control Number 52-CC-20231023145010

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: STANFORD ARBORETUM CHILDREN'S CENTER	FACILITY NUMBER: 434415327
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/25/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 11/08/2023 Section Cited CCR 101216.3	1 2 3 4 5 6 7	Teacher-Child Ratio. There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below.	1 2 3 4 5 6 7	Director is to draft a plan on how facility will ensure they remain within ratio during nap periods. Plan to be submitted to LPA no later than 11/8/2023 via email.
	8 9 10 11 12 13 14	This requirement is not being met due to although during nap time ratio is 1 teacher/aide to 24 napping children, when there is a child(ren) off of their mat during nap time they are no longer considered to be napping and ratio must then revert to 1 teacher to 12 children. This poses a potential risk to the health and safety to the children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: 10/25/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2023

LIC9099 (FAS) - (06/04)

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