<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013418948
Report Date: 09/14/2022
Date Signed: 09/14/2022 05:39:10 PM

Substantiated


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
09/09/2022 and conducted by Evaluator Mayla Mendoza
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20220909113939
FACILITY NAME:SCOTT, VICKTORIYAFACILITY NUMBER:
013418948
ADMINISTRATOR:SCOTT, VICKTORIYAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 287-6873
CITY:BERKELEYSTATE: CAZIP CODE:
94702
CAPACITY:14CENSUS: 3DATE:
09/14/2022
UNANNOUNCEDTIME BEGAN:
05:10 PM
MET WITH:Vicktoriya ScottTIME COMPLETED:
05:50 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights-Daycare child left the facility unsupervised.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 9/14/22 at 5:15pm , Licensing Program Manager (LPM) Mayla Mendoza and Regional Manager (RM) Diane Perez arrived unannounced to deliver the findings for the above allegation. LPM and RM met with Licensee Vicktoriya Scott. During the course of the investigation, interviews were conducted and observations were made. Present for this inspection was 1 infant, 2 preschoolers and 1 assistant.

A video obtained showed a day care child wandering the street, then being approached by a neighbor. A few minutes later, licensee Vicktoriya Scott came rushing out of her gate to retrieve the child. Therefore the allegation is SUBSTANTIATED, the preponderance of evidence standard has been met. Title 22, is being cited on the attached LIC9099D.

Appeal Rights were discussed
An exit interview was conducted with Licensee and Notice of site visit was provided.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Diane PerezTELEPHONE: (510) 622-2590
LICENSING EVALUATOR NAME: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2022
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
Control Number 02-CC-20220909113939
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: SCOTT, VICKTORIYA
FACILITY NUMBER: 013418948
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/14/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/15/2022
Section Cited
CCR
102423(a)(2)
1
2
3
4
5
6
7
102423(a)(2) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include,but are not limited to,the following:(2)To receive safe,healthful,and comfortable accommodations,
1
2
3
4
5
6
7
By 9/15/22-please review video in regards to personal rights on the ccld.ca.gov website and submit a summary of what was learned, In addition, please write out a plan on how you will safely keep children
8
9
10
11
12
13
14
furnishings,and equipment.This requirement is not met as evidenced by: child was observed wandering away from the facility, then later retreived by the licensee. This poses an immediate risk to the health and safety of children in care.
8
9
10
11
12
13
14
from wandering away from your facility. Email summary and plan to LPM Mayla Mendoza at mayla.mendoza@dss.ca.gov
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Diane PerezTELEPHONE: (510) 622-2590
LICENSING EVALUATOR NAME: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2