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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013422987
Report Date: 10/16/2023
Date Signed: 10/16/2023 05:20:56 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
08/11/2023 and conducted by Evaluator April Wright
COMPLAINT CONTROL NUMBER: 52-CC-20230811125726
FACILITY NAME:VATTIPALLI, MAMATHAFACILITY NUMBER:
013422987
ADMINISTRATOR:VATTIPALLI, MAMATHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 289-9209
CITY:FREMONTSTATE: CAZIP CODE:
94555
CAPACITY:14CENSUS: 11DATE:
10/16/2023
UNANNOUNCEDTIME BEGAN:
04:35 PM
MET WITH:Mamatha VattipalliTIME COMPLETED:
05:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights - Licensee burned child with hot milk
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On October 16th, 2023 at approximately 4:35pm, Licensing Program Analyst (LPA) April Wright met with Licensee Mamatha Vattipalli for an unannounced follow-up complaint inspection. The purpose of the inspection is to deliver the complaint investigation findings. Present were eleven (11) children and fingerprint cleared assistant Laxmi Varcha Ettamsetti. LPA conducted a health and safety inspection.

During the course of the investigation ,LPA reviewed the facility files, reviewed submitted documentation and interviewed a random sample of parents.

This agency has investigated this complaint alleging - Licensee burned child with hot milk. 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 and report read with Licensee Mamatha Vattipalli.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April WrightTELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2023
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
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
08/11/2023 and conducted by Evaluator April Wright
COMPLAINT CONTROL NUMBER: 52-CC-20230811125726

FACILITY NAME:VATTIPALLI, MAMATHAFACILITY NUMBER:
013422987
ADMINISTRATOR:VATTIPALLI, MAMATHAFACILITY TYPE:
810
ADDRESS:4800 TOUCHSTONE TERRTELEPHONE:
(510) 289-9209
CITY:FREMONTSTATE: CAZIP CODE:
94555
CAPACITY:14CENSUS: DATE:
10/16/2023
UNANNOUNCEDTIME BEGAN:
04:35 PM
MET WITH:TIME COMPLETED:
05:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights - Licensee did not ensure that child's diapering needs were met
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On October 16th, 2023 at approximately 4:35pm, Licensing Program Analyst (LPA) April Wright met with Licensee Mamatha Vattipalli for an unannounced follow-up complaint inspection. The purpose of the inspection is to deliver the complaint investigation findings. Present were eleven (11) children and fingerprint cleared assistant Laxmi Varcha Ettamsetti. LPA conducted a health and safety inspection.

During the course of the investigation ,LPA reviewed the facility files, reviewed submitted documentation and interviewed a random sample of parents.

This agency has investigated this complaint alleging - Licensee did not ensure that child's diapering needs were met. 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 and report read with Licensee Mamatha Vattipalli.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April WrightTELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 2