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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 070208034
Report Date: 08/27/2024
Date Signed: 08/27/2024 02:51:07 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
08/23/2024 and conducted by Evaluator Julia Placencia
COMPLAINT CONTROL NUMBER: 52-CC-20240823084150
FACILITY NAME:SRVSACCA - KIDS COUNTRY-WALT DISNEYFACILITY NUMBER:
070208034
ADMINISTRATOR:ALEGRE, ROWENAFACILITY TYPE:
840
ADDRESS:3250 PINE VALLEY ROADTELEPHONE:
(925) 552-4489
CITY:SAN RAMONSTATE: CAZIP CODE:
94583
CAPACITY:120CENSUS: 38DATE:
08/27/2024
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Emma AmorantoTIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not follow the admissions agreement for child in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On August 27, 2024 at 12:00pm, Licensing Program Analyst (LPA) Julia Placencia arrived unannounced for the Initial 10-Day Complaint Investigation. LPA met with director Emma Amoranto. Present were 38 children and an additional 9 staff members.

During the course of the investigation LPA toured the facility, conducted interviews with staff and reviewed documents. Reporting party (RP) alleges that staff did not follow appropriate procedures during pick up of C1 from C1's elementary school classroom. There is not enough evidence to prove nor disprove this allegation.

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.

Exit interview conducted with director Emma Amoranto. A Notice of Site Visit was provided and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Julia PlacenciaTELEPHONE: (510) 725-5998
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2024
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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