013417566-2-4-2022-02-CC-LDYN-CC34YZ-20220227183159

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 013417566
Report Date: 02/04/2022
Date Signed: 02/04/2022 12:20:40 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
12/22/2021 and conducted by Evaluator Ashley Curry

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20211222092502

FACILITY NAME:	ADVANCE DAY CARE CENTER		FACILITY NUMBER:	013417566
ADMINISTRATOR:	LAM, ENG		FACILITY TYPE:	850
ADDRESS:	2236 INTERNATIONAL BLVD.		TELEPHONE:	(510) 434-9288
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94606
CAPACITY:	80	CENSUS:	DATE:	02/04/2022
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Eng Lam		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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9

Personal Rights

INVESTIGATION FINDINGS:

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On 02/4/2022 at 9:30AM Licensing Program Analysts (LPAs) Ashley Curry and Monica Mathur conducted an unannounced subsequent complaint investigation and was greeted by Teacher Sharon. Director Lam was not present but arrived 30 minutes later. The above allegation was discussed. The LPAs toured the facility, reviewed facility records, and conducted interviews with the director, staff, and children.

The allegation is that a staff member hit a child causing injury. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur. This allegation is Unsubstantiated. No deficiency was cited for this allegation, however director was reminded that personal rights of children must not be violated.

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Exit interview was conducted, appeal rights were given, and report was reviewed by facility representative Eng Lam.

Notice of site visit was given.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) -69-0243
LICENSING EVALUATOR NAME: Ashley Curry	TELEPHONE: 510-566-1562
LICENSING EVALUATOR SIGNATURE:	DATE: 02/04/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2022

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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