073408588-2-13-2023-02-CC-MMEA-CP3TRV-20230215135806

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 073408588
Report Date: 02/13/2023
Date Signed: 02/13/2023 03:03:06 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
11/17/2022 and conducted by Evaluator Nyeesha Blount

COMPLAINT CONTROL NUMBER: 02-CC-20221117125832

FACILITY NAME:	MANON, MONICA		FACILITY NUMBER:	073408588
ADMINISTRATOR:	MANON, MONICA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 669-1900
CITY:	EL SOBRANTE	STATE: CA	ZIP CODE:	94803
CAPACITY:	14	CENSUS: 8	DATE:	02/13/2023
		UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	MANON, MONICA		TIME COMPLETED:	03:25 PM

ALLEGATION(S):

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Personal Rights.~ Licensee hit child.

INVESTIGATION FINDINGS:

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On February 13, 2023 Licensing Program Analyst (LPA) Nyeesha Blount conducted an unannounced complaint Investigation inspection, LPA met with Licensee Manon, Monica and assistant Bustamante, Zuleny Present during the visit were (4) infants and (6) preschool children. A health and safety inspection were conducted.

During the investigation LPA interviewed staff and parents. Based on interviews which were conducted, 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. RP was advised from child that Licensee hit her on the tummy in the baby room but was not able to determine if this allegation above happened. Staff interviews conducted that the child may have been hit by another child in the day care. Both children are leaders in the day care so they tend to not get along at times.

Exit interview conducted, Notice of Site Visit given and appeal rights with Licensee Manon, Monica.

Unsubstantiated

Estimated Days of Completion: 60

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Nyeesha Blount	TELEPHONE: (510) 566-2319
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2023

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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