073407660-9-29-2023-02-CC-LDYN-CWHCB8-20231011014643

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 073407660
Report Date: 09/29/2023
Date Signed: 09/29/2023 12:18:07 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
08/01/2023 and conducted by Evaluator Ashley Curry

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20230801144936

FACILITY NAME:	SANTOS, JEANNIE		FACILITY NUMBER:	073407660
ADMINISTRATOR:	SANTOS, JEANNIE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(925) 219-7666
CITY:	ANTIOCH	STATE: CA	ZIP CODE:	94531
CAPACITY:	14	CENSUS: 5	DATE:	09/29/2023
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Jeannie Santos		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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Licensee is operating outside of license terms and conditions

Conduct inimical

INVESTIGATION FINDINGS:

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On 09/29/2023 at 10:30 AM Licensing Program Analyst (LPA), A. Curry conducted an unannounced subsequent complaint inspection. LPA met with the Licensee, Jeannie Santos, to explain the purpose of today's vsit. The LPA previously toured the facility, made observations, and conducted interviews. During multiple visits to the facility, the LPA observed the facility in ratio and there are no concerns regarding the health and safety of children in care. Based on the information gathered through interviews and observations, it could not be determined that the facility violated any regulations. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur. This allegation is Unsubstantiated. No deficiencies are being cited today.

Exit interview conducted, appeal rights were given, and report was reviewed with the Licensee, Jeannie Santos.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Ashley Curry	TELEPHONE: 510-566-1562
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2023

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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