010212906-4-14-2023-02-CC-LDYN-CRDU67-20230430151751

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 010212906
Report Date: 04/14/2023
Date Signed: 04/14/2023 09:42:00 AM

Unsubstantiated

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
02/01/2023 and conducted by Evaluator Phyllis Dyer

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20230201163811

FACILITY NAME:	BIGELOW, MARY & ERNEST		FACILITY NUMBER:	010212906
ADMINISTRATOR:	BIGELOW, MARY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 632-2518
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94605
CAPACITY:	14	CENSUS: 11	DATE:	04/14/2023
		UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Mary and Ernest Biglow		TIME COMPLETED:	09:50 AM

ALLEGATION(S):

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Child in care sustained unexplained injuries.

INVESTIGATION FINDINGS:

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Licensing Program Analyst Lisa Dyer met with Licensees Mary and Ernest Bigelow to deliver the findings of a Complaint Investigation. The investigation was conducted by Special Investigator Jorge Martinez of the Bureau of Investigations.
It was alleged that a Child in Care Sustained Unexplained Injuries.
Present today at the facility are the two licensees, 2 fingerprint cleared staff, and 11 day care children (2 infants and 9 preschool age).
During the course of the investigation, interviews were conducted and documents were obtained.
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur. Therefore, the results are Unsubstantiated. Exit interview conducted. Appeal rights were discussed and given. Notice of Site visit must be posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Phyllis Dyer	TELEPHONE: (510) 725-7006
LICENSING EVALUATOR SIGNATURE:	DATE: 04/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2023

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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