073408652-11-5-2021-02-CC-LDYN-C93MZ2-20211124090222

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 073408652
Report Date: 11/05/2021
Date Signed: 11/05/2021 05:53:43 PM

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
08/05/2021 and conducted by Evaluator Lakeisha Chew

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20210805131349

FACILITY NAME:	MARS, PRISCILLA		FACILITY NUMBER:	073408652
ADMINISTRATOR:	MARS, PRISCILLA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 508-1837
CITY:	OAKLEY	STATE: CA	ZIP CODE:	94561
CAPACITY:	14	CENSUS: 8	DATE:	11/05/2021
		UNANNOUNCED	TIME BEGAN:	03:31 PM
MET WITH:	MARS, PRISCILLA		TIME COMPLETED:	05:52 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Licensee does not provide adequate supervision

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On November 5, 2021 PM Licensing Program Analyst (LPA) Lakeisha Chew conducted an unannounced complaint inspection. LPA met with licensee MARS, PRISCILLA. LPA discussed the purpose of the inspection. LPA observed 8 children present in the facility (1 infants, 3 school-age and 4 preschoolers) and 3 staff members.. A tour of the facility was conducted with the licensee. LPA conducted interviews. and observation.
LPA collected children’s roster and reviewed children’s files. Based on information obtained and interviews conducted throughout the investigation, there is not a preponderance of evidence to substantiate the allegation, therefore the allegation is unsubstantiated, which means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation occurred. A notice of site visit notice was issued and must be posted in a visible area for 30 consecutive days. An exit interview was conducted, and a copy was read and issued to the licensee. The licensee signature confirms receipt of this document.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) -69-0243
LICENSING EVALUATOR NAME: Lakeisha Chew	TELEPHONE: (510) 566-5850
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 7

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
08/05/2021 and conducted by Evaluator Lakeisha Chew

COMPLAINT CONTROL NUMBER: 02-CC-20210805131349

FACILITY NAME:	MARS, PRISCILLA		FACILITY NUMBER:	073408652
ADMINISTRATOR:	MARS, PRISCILLA		FACILITY TYPE:	810
ADDRESS:	777 WESTMOOR CIRCLE		TELEPHONE:	(510) 508-1837
CITY:	OAKLEY	STATE: CA	ZIP CODE:	94561
CAPACITY:	14	CENSUS: 8	DATE:	11/05/2021
		UNANNOUNCED	TIME BEGAN:	03:31 PM
MET WITH:	MARS, PRISCILLA		TIME COMPLETED:	05:52 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Adult in the home had verbal confrontation with children's responsible party in the presence of the children.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) -69-0243
LICENSING EVALUATOR NAME: Lakeisha Chew	TELEPHONE: (510) 566-5850
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 2 of 7

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
08/05/2021 and conducted by Evaluator Lakeisha Chew

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20210805131349

FACILITY NAME:	MARS, PRISCILLA		FACILITY NUMBER:	073408652
ADMINISTRATOR:	MARS, PRISCILLA		FACILITY TYPE:	810
ADDRESS:	777 WESTMOOR CIRCLE		TELEPHONE:	(510) 508-1837
CITY:	OAKLEY	STATE: CA	ZIP CODE:	94561
CAPACITY:	14	CENSUS: 8	DATE:	11/05/2021
		UNANNOUNCED	TIME BEGAN:	03:31 PM
MET WITH:	MARS, PRISCILLA		TIME COMPLETED:	05:52 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Daycare child was not provided with adequate amounts of water.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) -69-0243
LICENSING EVALUATOR NAME: Lakeisha Chew	TELEPHONE: (510) 566-5850
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 3 of 7

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
08/05/2021 and conducted by Evaluator Lakeisha Chew

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20210805131349

FACILITY NAME:	MARS, PRISCILLA		FACILITY NUMBER:	073408652
ADMINISTRATOR:	MARS, PRISCILLA		FACILITY TYPE:	810
ADDRESS:	777 WESTMOOR CIRCLE		TELEPHONE:	(510) 508-1837
CITY:	OAKLEY	STATE: CA	ZIP CODE:	94561
CAPACITY:	14	CENSUS: 8	DATE:	11/05/2021
		UNANNOUNCED	TIME BEGAN:	03:31 PM
MET WITH:	MARS, PRISCILLA		TIME COMPLETED:	05:52 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Licensee does not treat daycare child fairly.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) -69-0243
LICENSING EVALUATOR NAME: Lakeisha Chew	TELEPHONE: (510) 566-5850
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 4 of 7

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
08/05/2021 and conducted by Evaluator Lakeisha Chew

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20210805131349

FACILITY NAME:	MARS, PRISCILLA		FACILITY NUMBER:	073408652
ADMINISTRATOR:	MARS, PRISCILLA		FACILITY TYPE:	810
ADDRESS:	777 WESTMOOR CIRCLE		TELEPHONE:	(510) 508-1837
CITY:	OAKLEY	STATE: CA	ZIP CODE:	94561
CAPACITY:	14	CENSUS: 8	DATE:	11/05/2021
		UNANNOUNCED	TIME BEGAN:	03:31 PM
MET WITH:	MARS, PRISCILLA		TIME COMPLETED:	05:52 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Licensee does not provide adequate supervision.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) -69-0243
LICENSING EVALUATOR NAME: Lakeisha Chew	TELEPHONE: (510) 566-5850
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 5 of 7

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
08/05/2021 and conducted by Evaluator Lakeisha Chew

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20210805131349

FACILITY NAME:	MARS, PRISCILLA		FACILITY NUMBER:	073408652
ADMINISTRATOR:	MARS, PRISCILLA		FACILITY TYPE:	810
ADDRESS:	777 WESTMOOR CIRCLE		TELEPHONE:	(510) 508-1837
CITY:	OAKLEY	STATE: CA	ZIP CODE:	94561
CAPACITY:	14	CENSUS: 8	DATE:	11/05/2021
		UNANNOUNCED	TIME BEGAN:	03:31 PM
MET WITH:	MARS, PRISCILLA		TIME COMPLETED:	05:52 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Children are transported in an unsafe manner.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) -69-0243
LICENSING EVALUATOR NAME: Lakeisha Chew	TELEPHONE: (510) 566-5850
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 6 of 7

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
08/05/2021 and conducted by Evaluator Lakeisha Chew

COMPLAINT CONTROL NUMBER: 02-CC-20210805131349

FACILITY NAME:	MARS, PRISCILLA		FACILITY NUMBER:	073408652
ADMINISTRATOR:	MARS, PRISCILLA		FACILITY TYPE:	810
ADDRESS:	777 WESTMOOR CIRCLE		TELEPHONE:	(510) 508-1837
CITY:	OAKLEY	STATE: CA	ZIP CODE:	94561
CAPACITY:	14	CENSUS: 8	DATE:	11/05/2021
		UNANNOUNCED	TIME BEGAN:	03:31 PM
MET WITH:	MARS, PRISCILLA		TIME COMPLETED:	05:52 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Licensee failed to keep detergents inaccessible to day care children.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) -69-0243
LICENSING EVALUATOR NAME: Lakeisha Chew	TELEPHONE: (510) 566-5850
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 7 of 7