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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013419473
Report Date: 11/15/2022
Date Signed: 11/15/2022 12:03:38 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
10/21/2022 and conducted by Evaluator Manel Estoesta
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20221021105425
FACILITY NAME:CITY OF UNION CITY - HOLLY CENTERFACILITY NUMBER:
013419473
ADMINISTRATOR:VERA, MARISSAFACILITY TYPE:
850
ADDRESS:31600 ALVARADO BLVD.TELEPHONE:
(510) 675-5488
CITY:UNION CITYSTATE: CAZIP CODE:
94587
CAPACITY:19CENSUS: 10DATE:
11/15/2022
UNANNOUNCEDTIME BEGAN:
09:09 AM
MET WITH:Marissa VeraTIME COMPLETED:
12:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights - Facility staff inappropriately handled daycare child.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On Tuesday, November 15, 2022 at 9:09 am, Licensing Program Analyst (LPA) Manel Estoesta conducted a subsequent Complaint Investigation. LPA met with the Director Marissa Vera and explained the nature of site visit. Present on this visit were 4 Staff and 10 Preschool Children. Facility operates from Monday to Friday 7 am to 6 pm.
The Department has investigated the complaint alleging Child's Personal Rights Violation. During the investigation the Department conducted a physical plant inspection and conducted interviews with facility staff and children's authorized representatives. LPA Estoesta concluded that there was not enough evidence to support that facility staff inappropriately handled a daycare child.
Based on the interviews and information obtained throughout the investigation, the allegation is unsubstantiated. Although the allegation 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 deemed UNSUBSTANTIATED.
A notice of site visit was given and must remain posted for 30 days. Exit interview conducted with the Director.
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2022
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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