013418175-5-12-2021-02-CC-LDYN-C3NLJC-20210604084743

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 013418175
Report Date: 05/12/2021
Date Signed: 05/12/2021 03:38:09 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
03/23/2021 and conducted by Evaluator Phyllis Dyer

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20210323153940

FACILITY NAME:	FUZZY CATERPILLAR		FACILITY NUMBER:	013418175
ADMINISTRATOR:	RISSE, TALI		FACILITY TYPE:	850
ADDRESS:	1510-1504A ENCINAL AVENUE		TELEPHONE:	(510) 205-0985
CITY:	ALAMEDA	STATE: CA	ZIP CODE:	94501
CAPACITY:	66	CENSUS: 34	DATE:	05/12/2021
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Tali Risse		TIME COMPLETED:	03:50 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Personal Rights - Staff mishandled daycare children while in care.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

LPA Dyer met with Director Tali Risse to provide the results of the above allegation. There are 34 children present. It was alleged that Staff mishandled daycare children while in care. This incident happened approximately 10 years ago.
LPA interviewed staff who have been employed at the facility over 10 years. All were aware of personal rights of children.
Due to the length of time that has passed since the incident occurred, interviews did not provide any definitive information. Therefore, this allegation will be resolved as Unsubstantiated.
Exit interview conducted. Site visit notice was given to be posted by the Director. Director was also given a copy of their Appeal Rights.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Antranette Robinson	TELEPHONE: (510) -28-4353
LICENSING EVALUATOR NAME: Phyllis Dyer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 2