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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013418077
Report Date: 10/12/2022
Date Signed: 10/12/2022 09:09:09 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 STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/06/2022 and conducted by Evaluator Elimika Woods
COMPLAINT CONTROL NUMBER: 52-CC-20220706144913
FACILITY NAME:POPEJOY, VICTORIAFACILITY NUMBER:
013418077
ADMINISTRATOR:POPEJOY, VICTORIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 689-9721
CITY:HAYWARDSTATE: CAZIP CODE:
94541
CAPACITY:14CENSUS: 0DATE:
10/12/2022
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Victoria PopejoyTIME COMPLETED:
09:15 AM
ALLEGATION(S):
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9
Physical Abuse-Child sustained multiple bruises in care
INVESTIGATION FINDINGS:
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13
On October 12, 2022 at 8:15 AM, Licensing Program Analyst (LPA) Elimika Woods met with Licensee,Victoria Popejoy to delivery the findings of a complaint investigation. There were no children present durinig the visit. During the course of the investigations interviews were conducted, facilty documents were obtained and various documents from other State agencies were reviewed. Based on interviews conducted it was alleged that a child sustained multiple bruises while in care. Based on interviews conducted and observations, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore, the allegation is UNSUBSTANTIATED

A copy of the report and appeal rights were provided. A Notice of Site visit was provided and posted by licensee. Exit interview conducted with licensee, Victoria Popejoy.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Elimika WoodsTELEPHONE: (510) 622-2550
LICENSING EVALUATOR SIGNATURE:

DATE: 10/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2022
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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