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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013419837
Report Date: 11/06/2019
Date Signed: 11/06/2019 11:44:25 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 STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/04/2019 and conducted by Evaluator Dayna Collier
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20191104163724

FACILITY NAME:WINDHAM, TRACEYFACILITY NUMBER:
013419837
ADMINISTRATOR:WINDHAM, TRACEYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 938-5060
CITY:NEWARKSTATE: CAZIP CODE:
94560
CAPACITY:14CENSUS: 7DATE:
11/06/2019
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Tracey WindhamTIME COMPLETED:
11:45 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
PERSONAL RIGHTS: Daycare child left to cry for a period of time.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
LPA Dayna Collier met with licensee's assistant Shawna Kelly for a complaint investigation regarding the above allegation. Present for the investigation were licensee's assistant and 7 preschool children in care. During the course of the investigation, interviews were conducted. It was alleged that an infant in care has been placed in the crib to cry for a period to time. Per licensee's assistant, the infant has been ill lately and may have been cranky as a result. Licensee's assistant stated that the infant naps for about 2 hours each day. When the infant is not napping, the infant is in the environment with the other children. Although the infant may have been crying for a period of time, it cannot be proven or disproven whether the infant was crying and could not be comforted or as a result of his/her needs not being met. 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) 622-2590
LICENSING EVALUATOR NAME: Dayna CollierTELEPHONE: (510) 725-7021
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 3