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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013418948
Report Date: 09/18/2020
Date Signed: 09/18/2020 10:59:19 AM



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
02/03/2020 and conducted by Evaluator Dayna Collier
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20200203144241

FACILITY NAME:SCOTT, VICKTORIYAFACILITY NUMBER:
013418948
ADMINISTRATOR:SCOTT, VICKTORIYAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 287-6873
CITY:BERKELEYSTATE: CAZIP CODE:
94702
CAPACITY:14CENSUS: DATE:
09/18/2020
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Vicktoriya ScottTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
PERSONAL RIGHTS: Staff hit children in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
LPA Dayna Collier made an unannounced tele-visit call with licensee Vicktoriya Scott due to COVID-19 restrictions for the purpose of delivering the findings of a complaint investigation. Present today were licensee, licensee's assistant, licensee's 2 adult daughters and 8 children in care consisting of 4 infants and 4 preschoolers. During the course of the investigation, interviews were conducted. Per licensee, an incident occurred when she tried to take a broom from the child as he was also pulling on it. The momentum of broom when the staff member released it caused the child to be hit in the face. Licensee stated that she was not aware of the incident until the child's parents told her that the child said the staff member hit him. Although it may not have been intentional, the staff member pulling on the broom while the child also did so would have caused an incident. During the investigation, there were no other disclosures made about children being hit as a form of discipline. Based on the investigative findings, it cannot be determined whether or not the incident causing the child to be hit was accidental or intentional. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur. Therefore, the allegation is unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Diane PerezTELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Dayna CollierTELEPHONE: (510) 725-7021
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2020
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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