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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 070211076
Report Date: 09/20/2022
Date Signed: 09/20/2022 12:52:00 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, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/30/2022 and conducted by Evaluator Nyeesha Blount
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20220630150955
FACILITY NAME:KEEL, MESHELLEFACILITY NUMBER:
070211076
ADMINISTRATOR:KEEL, MESHELLEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 232-8458
CITY:SAN PABLOSTATE: CAZIP CODE:
94806
CAPACITY:12CENSUS: 3DATE:
09/20/2022
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:KEEL, MESHELLETIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
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9
Personal Rights-child sustained bruising while in care
INVESTIGATION FINDINGS:
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2
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 On September 20, 2022 at 11:45 AM Licensing Program Analyst (LPA) Nyeesha Blount and Licensing Program Manager(LPM) Mayla Mendoza conducted an unannounced complaint Investigation inspection, LPA and LPM met with Licensee Meshelle, Keel Present during the visit were (3) Preschool age children. A health and safety inspection was conducted.

During the course of investigation LPA interviewed the licensee, staff, parents and children in care. It was reported that a child sustained bruising while in care. Although an interview suggested that a child may have had bruising, it could not be determined whether the brusing occurred at the daycare.

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 deemed unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Nyeesha BlountTELEPHONE: (510) 566-2319
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2022
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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