Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013422022
Report Date: 01/26/2016
Date Signed 01/26/2016 03:32:33 PM


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
01/22/2016 and conducted by Evaluator Al Wong
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20160122085316
FACILITY NAME:YOUNG EXPLORERSFACILITY NUMBER:
013422022
ADMINISTRATOR:RAMDAS, SANGEETHAFACILITY TYPE:
850
ADDRESS:39482 FREMONT BLVDTELEPHONE:
(510) 713-1877
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY:24CENSUS: 17DATE:
01/26/2016
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Director S NavaneethakannanTIME COMPLETED:
03:40 PM
ALLEGATION(S):
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FOOD SERVICE: MENUS FOR MEALS & SNACKS ARE NOT FOLLOWED.
INVESTIGATION FINDINGS:
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LPA AL WONG INTERVIEWED THE DIRECTOR & 2 TEACHERS. LPA OBSERVED THE LUNCH MENU WHICH LISTED QUESADILLA BUT INSTEAD THE CHILDREN WERE SERVED AN INDIAN DISH WITH RICE & SLICED APPLES. LPA OBSERVED MULTIPLE BOXES OF CRACKERS & CHEESE, RAISINS, CRANBERRIES & APPLES IN THE REFRIGERATOR. DIRECTOR & TEACHERS STATED THAT THE SNACK MENUS ARE CONSTANTLY FOLLOWED. DIRECTOR STATED THE FOOD IS PREPARED OUTSIDE & BROUGHT INTO THE CENTER AT LUNCH TIME & SOMETIMES THE COOK DOES NOT FOLLOW THE MENU; THE DIRECTOR HAS NOT CROSSED OUT TODAY'S MENU & HAND WRITTEN TODAY'S SUBSTITUTED MEAL.


BASED ON LPA's OBSERVATIONS & INTERVIEWS WHICH WERE CONDUCTED & RECORD REVIEWED, THE PREPONDERANCE OF EVIDENCE HAS BEEN MET, THEREFORE THE ABOVE ALLEGATION IS FOUND TO BE SUBSTANTIATED. CALIF CODE OF REGULATIONS, (TITLE 22, DIVISION 12 & CHAPTER 3) IS BEING CITED ON THE ATTACHED LIC 9099D.

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Ann RobinsonTELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Al WongTELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2016
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 4


Control Number 02-CC-20160122085316

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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: YOUNG EXPLORERS
FACILITY NUMBER: 013422022
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/26/2016
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/27/2016
Section Cited
101227(a)(6)
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*** FOOD SERVICES ***
"Menus shall be in writing and shall be posted at least one week in advance in an area accessible for review by the child's authorized representative."
THE CENTER HAS NOT WRITTEN A CHANGE OF MEAL/S &/OR LIQUIDS ON THE POSTED LUNCH MENU FOR PARENTS TO OBSERVE. DIRECTOR CHANGED THE LUNCH MENU TODAY.
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CENTER WILL, BEGINNING 1/27/16, UPDATE THE LUNCH OR SNACK MENUS WHEN THERE ARE MODIFICATIONS IN ORDER TO INFORM PARENTS OF THE CHANGES.

TODAY'S CHANGE WAS HANDWRITTEN DURING THE VISIT.
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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.
SUPERVISOR'S NAME: Ann RobinsonTELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Al WongTELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2016
LIC9099 (FAS) - (06/04)
Page: 2 of 4