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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 070212089
Report Date: 11/12/2019
Date Signed: 11/12/2019 10:24:33 AM



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
11/05/2019 and conducted by Evaluator Paul Peterson
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20191105095711
FACILITY NAME:CONTRA COSTA COLLEGE - EARLY CHILDHOOD LAB SCHOOLFACILITY NUMBER:
070212089
ADMINISTRATOR:BRIANNE AYALAFACILITY TYPE:
850
ADDRESS:2600 MISSION BELL DRIVETELEPHONE:
(510) 215-4885
CITY:SAN PABLOSTATE: CAZIP CODE:
94806
CAPACITY:75CENSUS: 66DATE:
11/12/2019
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Brianne AyalaTIME COMPLETED:
10:10 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility was out of ratio
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Paul Petersen conducted an unannounced complaint investigation site inspection for this facility. LPA met with the facility director, Brianne Ayala. Also present were 66 preschool age children in care along with 12 teaching staff.

Based on the investigative findings, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time.

The facility director was provided a copy of the appeal rights and the signature on this form acknowledges receipt of these rights. An exit interview was conducted and a copy of the complaint investigation report provided. The Notice of Site visit was provided and posted and is to remain posted for 30 days from this date.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Paul PetersonTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2019
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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