013422020-7-14-2023-52-CC-CCHS-CU2M82-20230724092226

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 013422020
Report Date: 07/14/2023
Date Signed: 07/14/2023 10:27:59 AM

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
06/02/2023 and conducted by Evaluator Elimika Woods

COMPLAINT CONTROL NUMBER: 52-CC-20230602101341

FACILITY NAME:	LIL ANGELS CENTERS FOR EARLY EDUCATION		FACILITY NUMBER:	013422020
ADMINISTRATOR:	CINDY RODRIGUEZ		FACILITY TYPE:	850
ADDRESS:	1836 B STREET		TELEPHONE:	(510) 581-9007
CITY:	HAYWARD	STATE: CA	ZIP CODE:	94541
CAPACITY:	48	CENSUS: 32	DATE:	07/14/2023
		UNANNOUNCED	TIME BEGAN:	09:50 AM
MET WITH:	Cindy Rodriguez		TIME COMPLETED:	10:50 AM

ALLEGATION(S):

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Neglect/Lack of Supervision-Day care child sustained an unexplained injury while in care.

INVESTIGATION FINDINGS:

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On July 14, 2023 at 9:50 AM.,Licensing Program Analyst LPA Elimika Woods delivered the findings of a complaint investigation conducted by Investigation Bureau (IB) Investigator Austin Blatnick. During the course of the investigation interviews were conducted, facility documents were obtained and various documents from other state agencies were reviewed. There were 32 preschool children present and four additional staff members during todays visit.

Based on the Investigator's Austin Blatnick's observations, which were conducted and interview(s), it cannot be proven or disproven that a day care child sustained an unexplained injury while in care. 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

Exit interview conducted with Cindy Rodriguez, appeal rights and Notice of Site Visit provided.

Unsubstantiated

Estimated Days of Completion: 10

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Elimika Woods	TELEPHONE: (510) 622-2550
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2023

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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