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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013420568
Report Date: 08/14/2024
Date Signed: 08/14/2024 05:40:09 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, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/24/2024 and conducted by Evaluator Indira Loza
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20240524095835
FACILITY NAME:CCLC - CLIF BASE CAMP CHILD CARE CENTERFACILITY NUMBER:
013420568
ADMINISTRATOR:WOO, LANIFACILITY TYPE:
830
ADDRESS:6529 HOLLIS STREETTELEPHONE:
(510) 596-6699
CITY:EMERYVILLESTATE: CAZIP CODE:
94608
CAPACITY:17CENSUS: 30DATE:
08/14/2024
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Elizabeth Murray TIME COMPLETED:
05:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility does not have adequate telephone service
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On August 14, 2024 at 9:15am Licensing Program Analyst (LPA) Indira Loza met with Interim Director Elizabeth Murray to conduct a complaint investigation for the above allegation. There were 8 toddlers, 30 preschoolers, and 8 fingerprint cleared staff present during the visit.

Based on records reviewed and interviews conducted, it was determined that although the center Director was notified that the phone lines were going to be serviced on March 11, 2024 for a change of telephone/internet network providers it was unable to be determined of the phones were or were not working between March 11 and March 27, 2024. 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 this allegation is Unsubstantiated.
Exit interview conducted.
Report and Appeal Rights provided to Interim Director Elizabeth Murray.
Notice of Site visit must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2024
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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