013418175-11-10-2021-02-CC-LDYN-C8YRFD-20211121115858

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 013418175
Report Date: 11/10/2021
Date Signed: 11/10/2021 01:57:55 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
08/16/2021 and conducted by Evaluator Arminder Singh

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20210816105243

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: 39	DATE:	11/10/2021
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Tali Risse		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

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Day care children not wearing masks

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Arminder Singh met with Director, Talli Risee to deliver findings for the above allegation.

Based on the investigative finginds although the allegation may have happened or be valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time.

The facillity was provided a copy of the appeal rights. An exit interview was conducted and a copy of the complaint investigation report was provided and Notice of Site was issued.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Arminder Singh	TELEPHONE: (510) 725-2063
LICENSING EVALUATOR SIGNATURE:	DATE: 11/10/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2021

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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