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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 070213244
Report Date: 04/29/2022
Date Signed: 04/29/2022 12:04:48 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
03/25/2022 and conducted by Evaluator Melissa Guirit
COMPLAINT CONTROL NUMBER: 02-CC-20220325091325
FACILITY NAME:CALVARY CHRISTIAN SCHOOLFACILITY NUMBER:
070213244
ADMINISTRATOR:MULLENS, AMYFACILITY TYPE:
850
ADDRESS:3425 CONCORD BLVD.TELEPHONE:
(925) 682-6728
CITY:CONCORDSTATE: CAZIP CODE:
94519
CAPACITY:82CENSUS: 38DATE:
04/29/2022
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Amy MullensTIME COMPLETED:
12:25 PM
ALLEGATION(S):
1
2
3
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5
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7
8
9
Facility did not communicate to parents about a hand foot mouth outbreak.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 4/29/22, Licensing Program Analysts (LPAs) Melissa Guirit and Nyeesha Blount conducted an unannounced visit to investigate the above allegation. LPAs met with Director, Amy Mullens. During today's investigation, LPAs conducted staff interviews.

It was reported that the facility did not communicate to parents about a hand foot mouth outbreak. Throughout the course of the investigation, parent and staff interviews indicated that a notice was visibly posted for parents to see and a copy of a letter was put inside the sign in/out binder. However, the letter was undated and the timeframe of how long it was posted is unknown.

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.

Exit interview conducted with Director, Amy Mullens. Copy of report and appeal rights provided. Notice of Site Visit must be posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Melissa GuiritTELEPHONE: (510) 566-8898
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2022
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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