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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073407432
Report Date: 03/10/2022
Date Signed: 03/10/2022 06:30:37 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
03/01/2022 and conducted by Evaluator Cherie Acosta
COMPLAINT CONTROL NUMBER: 02-CC-20220301103245

FACILITY NAME:SMART START PRESCHOOLFACILITY NUMBER:
073407432
ADMINISTRATOR:GARCIA, ROSAFACILITY TYPE:
850
ADDRESS:2882 O'HARA AVETELEPHONE:
(925) 949-8557
CITY:BRENTWOODSTATE: CAZIP CODE:
94513
CAPACITY:30CENSUS: 19DATE:
03/10/2022
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Rosa GarciaTIME COMPLETED:
06:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility has insects
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Cherie Acosta conducted an unannounced visit to investigate the above allegation. LPA met with Rosa Garcia.

During the investigation LPA toured the facility and conducted interviews.

It was reported that the facility has insects. LPA did not observe insects during the inspection.

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.

Notice of Site Visit was provided and must be posted for 30 days.
Exit interview and report reviewed with Rosa Garcia.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Cherie AcostaTELEPHONE: (510) 622-1623
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2022
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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