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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013423370
Report Date: 02/23/2023
Date Signed: 02/23/2023 03:16:39 PM

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
02/22/2023 and conducted by Evaluator Sidney Cortez
COMPLAINT CONTROL NUMBER: 52-CC-20230222142828
FACILITY NAME:RHODES, ERIKAFACILITY NUMBER:
013423370
ADMINISTRATOR:ERIKA EHODESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 771-3565
CITY:SAN LORENZOSTATE: CAZIP CODE:
94580
CAPACITY:14CENSUS: 11DATE:
02/23/2023
UNANNOUNCEDTIME BEGAN:
02:42 PM
MET WITH:Erika RhodesTIME COMPLETED:
04:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Physical Plant
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On Feb 23, 2023 , Licensing Program Analyst (LPA) Sidney Cortez and LPA Andrew Elliott conducted an unannounced complaint site inspection. LPAs met with licensee Erika Rhodes and staff Sandra Esquivel to investigate the allegation.

Allegation was under the category of: Physical Plant. LPA took a tour of the facility for a health and safety inspection. Present during the inspection was the licensee and 7 preschool, 4 infants (total 11).

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

Based on the interviews conducted, files obtained, and observation, the allegation UNSUBSTANTIATED meaning there was no preponderance of evidence to prove the alleged violation occurred.
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: 02/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2023
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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