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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 070209978
Report Date: 09/01/2022
Date Signed: 09/01/2022 11:32:43 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, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/20/2022 and conducted by Evaluator Melissa Domantay
COMPLAINT CONTROL NUMBER: 02-CC-20220620094835
FACILITY NAME:PIXIE PLAY SCHOOLFACILITY NUMBER:
070209978
ADMINISTRATOR:JESSICA MUSANTEFACILITY TYPE:
850
ADDRESS:1797 AYERS ROADTELEPHONE:
(925) 276-2158
CITY:CONCORDSTATE: CAZIP CODE:
94521
CAPACITY:30CENSUS: 9DATE:
09/01/2022
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Jessica MusanteTIME COMPLETED:
11:40 AM
ALLEGATION(S):
1
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7
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9
Personal Rights - Staff speaks inappropriately to day care children.
INVESTIGATION FINDINGS:
1
2
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5
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7
8
9
10
11
12
13
Licensing Program Analysts (LPAs) Melissa Domantay and Melissa Guirit met with Jessica Musante to deliver the findings of the above allegation. Present at the facility are the owner, 2 parent volunteers and 9 preschool children. It was alleged that Staff speaks inappropriately to day care children. Observations and childrens Interviews were conducted during today's visit.

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 results are Unsubstantiated. Exit interview conducted with Director Jessica Musante. Appeal rights were discussed and given. This report must be kept available for public review for 3 years. Notice of Site visit must be posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Melissa DomantayTELEPHONE: 510-725-7021
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2022
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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