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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013421935
Report Date: 05/12/2023
Date Signed: 05/12/2023 01:11:36 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 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
03/16/2023 and conducted by Evaluator Russell Haderer
COMPLAINT CONTROL NUMBER: 52-CC-20230316132347
FACILITY NAME:WILSON, DANAFACILITY NUMBER:
013421935
ADMINISTRATOR:WILSON, DANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 321-1232
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY:14CENSUS: 9DATE:
05/12/2023
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Dana WilsonTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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3 - Personal Rights - Provider leaves day care children unsupervised for an extended period of time.
INVESTIGATION FINDINGS:
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On 5/12/2023 at approximately 12:00pm, Licensing Program Analyst (LPA) Russ Haderer arrived unannounced to complete the complaint investigation for an allegation of violation of Personal Rights. Present in the home today was the licensee, and 9 children in care (3 infants; 6 two-years old) and a parent volunteer (parent of a child in care). The facility is in ratio today.

The complainant alleged that children were left unattended for an extended period of time.

Supervision is not required to be 100% visual at all times provided the facility must be set up to ensure the children are safe during those moments when the licensee is temporarily out of visual contact.


Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2023
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 52-CC-20230316132347
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: WILSON, DANA
FACILITY NUMBER: 013421935
VISIT DATE: 05/12/2023
NARRATIVE
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LPA investigated the complaint. It was clear in photos provided by the reporting party that children were left alone in the daycare and at times the licensee’s children were also present. It is not clear is the amount of time the children were alone, although they were unattended.

Since licensees are not required to have visual supervision 100% of the time and the LPA could not confirm the licensee leaves the children unattended for inordinate periods of time, the complaint has been deemed unsubstantiated. By definition: 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.

An exit interview was conducted with licensee Dana Wilson and a Notice of Site Visit was issued and must be posted for 30 days.

SUPERVISOR'S NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2