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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013418077
Report Date: 08/03/2023
Date Signed: 08/03/2023 04:04:24 PM

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
06/08/2023 and conducted by Evaluator Melanie Otsuji
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20230608103826

FACILITY NAME:POPEJOY, VICTORIAFACILITY NUMBER:
013418077
ADMINISTRATOR:POPEJOY, VICTORIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 689-9721
CITY:HAYWARDSTATE: CAZIP CODE:
94541
CAPACITY:14CENSUS: 7DATE:
08/03/2023
UNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Chanvanny SengTIME COMPLETED:
04:20 PM
ALLEGATION(S):
1
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9
- Licensee left daycare children alone in vehicle.
INVESTIGATION FINDINGS:
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9
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13
Licensing Program Analyst (LPA) Otsuji arrived to the facility unannounced to conclude investigation into the above allegations. Present during today's visit was a fingerprint cleared assistant and 7 children (2 preschoolers and 5 school aged children).
During the course of the investigation LPA conducted investigations, made observations and collected documentation. Based on interviews, while Licensee did have to exit the vehicle to get a child from their parent, Licensee did not leave the children unattended and maintained visual supervision of the children at all times. Based on interviews conducted although the allegations 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 notice of site visit was given and must remain posted for 30 days.
Appeal Rights were given and discussed. An exit interview was conducted.

An exit interview was conducted with Assistant, Chanvanny Seng.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Melanie OtsujiTELEPHONE: (510) 341-5559
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2023
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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