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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013421537
Report Date: 08/09/2022
Date Signed: 08/11/2022 08:49:50 AM

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
07/28/2022 and conducted by Evaluator Sidney Cortez
COMPLAINT CONTROL NUMBER: 52-CC-20220728135546
FACILITY NAME:ROBINSON, VALERIEFACILITY NUMBER:
013421537
ADMINISTRATOR:ROBINSON, VALERIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 606-3538
CITY:HAYWARDSTATE: CAZIP CODE:
94544
CAPACITY:14CENSUS: 5DATE:
08/09/2022
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Valerie RobinsonTIME COMPLETED:
01:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee left day care children unattended: (10): Neglect/Lack of Supervision
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On Aug 9, 2022 , Licensing Program Analyst (LPA) Sidney Cortez conducted an unannounced complaint site inspection. LPA met with licensee and informed her of the 4 allegations towards her daycare.
Allegation was under Neglect/Lack of Supervision. LPA took a tour of the facility for a health and safety inspection. Present during the inspection was 5 school age children.

LPA Cortez requested and obtained a copy of the facility roster and personnel report. LPA conducted interviews with the licensee.

Based on the interviews conducted, observations, and documents that was gathered, the allegation that a daycare children was left unattended is UNSUBSTANTIATED meaning there was no preponderance of evidence to prove the alleged violation occurred.

Exit interview conducted with licensee, report read and appeal rights given
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Sidney CortezTELEPHONE: (510) 295-5031
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2022
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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