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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013416659
Report Date: 04/29/2020
Date Signed: 04/29/2020 02:40:20 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 STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/18/2020 and conducted by Evaluator Jonathan Williams
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20200218094419
FACILITY NAME:REDWOOD FOREST PRESCHOOLS, INC.FACILITY NUMBER:
013416659
ADMINISTRATOR:MONTEZ, LAURIEFACILITY TYPE:
850
ADDRESS:19200 REDWOOD ROADTELEPHONE:
(510) 537-0222
CITY:CASTRO VALLEYSTATE: CAZIP CODE:
94546
CAPACITY:127CENSUS: 0DATE:
04/29/2020
ANNOUNCEDTIME BEGAN:
01:30 AM
MET WITH:Director - Laurie MontezTIME COMPLETED:
01:47 PM
ALLEGATION(S):
1
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9
Staff left children unattended on the playground.
INVESTIGATION FINDINGS:
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2
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5
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8
9
10
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13
Licensing Program Analyst (LPA) Jonathan Williams conducted an investigation into the above allegation. Due to COVID-19 pandemic, LPA called facility director, Laurie Montez, over the phone to deliver findings. LIC 9099 was delivered to facility director Montez via email. See attached email receipt. LPA conducted record review of sign-in/sign-out sheets for children, interviewed staff, made visual observations of the facility physical plant, and interviewed parents of children in care.

The allegation may have happened or is valid, but there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation was found to be UNSUBSTANTIATED.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Jonathan WilliamsTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2020
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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