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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013422020
Report Date: 04/03/2023
Date Signed: 04/03/2023 11:36:05 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
02/03/2023 and conducted by Evaluator Elimika Woods
COMPLAINT CONTROL NUMBER: 52-CC-20230203113659
FACILITY NAME:LIL ANGELS CENTERS FOR EARLY EDUCATIONFACILITY NUMBER:
013422020
ADMINISTRATOR:CINDY RODRIGUEZFACILITY TYPE:
850
ADDRESS:1836 B STREETTELEPHONE:
(510) 581-9007
CITY:HAYWARDSTATE: CAZIP CODE:
94541
CAPACITY:48CENSUS: 38DATE:
04/03/2023
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Cindy RodriguezTIME COMPLETED:
11:35 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Neglect/Lack of Supervision
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On today's date, April 3, 2023 at 10:45 AM, Licensing Program Analyst (LPA) Elimika Woods arrived to the facility unannounced to deliver the finding to the above allegation. Upon arrival LPA was allowed in by the facility representative, Cindy Rodriguez. Present during the visit were 35 preschool children and five (5) additional staff members. LPA informed the facility representative of the reason for visit and toured the facility.

During interviews conducted with staff members during play time on the playground child, C1 was running when she fell and hit her head on the climbing structure. The staff provided first aid treatment and made a call to the parent informing her about her child's injury. A third staff member was call for ice but the child did not want it applied to her head by the director.
Based on interviews conducted there was not enough evidence to prove that the staff neglected there duty or lack of supervision to children in care at the facility. This agency has investigated the complaint.

Based on interviews conducted and observations, it cannot be proven or disproven that there was neglect/lack of supervision by the staff. 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 UNSUBSTANTIATED.

An exit interview was conducted with the facility representative, Cindy Rodriguez.
A notice of site visit was posted and must remain posted for a period of 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Elimika WoodsTELEPHONE: (510) 622-2550
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2023
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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