073408866-6-1-2022-02-CC-SJON-CFGMNS-20220617094601

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 073408866
Report Date: 06/01/2022
Date Signed: 06/01/2022 05:16:57 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
03/15/2022 and conducted by Evaluator Diana Campos

COMPLAINT CONTROL NUMBER: 02-CC-20220315140721

FACILITY NAME:	KIDDIE ACADEMY		FACILITY NUMBER:	073408866
ADMINISTRATOR:	MUNOZ, ABIGAIL		FACILITY TYPE:	840
ADDRESS:	1620 NERLOY RD.		TELEPHONE:	(925) 261-6717
CITY:	OAKLEY	STATE: CA	ZIP CODE:	94561
CAPACITY:	14	CENSUS: 4	DATE:	06/01/2022
		UNANNOUNCED	TIME BEGAN:	01:40 PM
MET WITH:	Laronda Levias-Mallory		TIME COMPLETED:	05:20 PM

ALLEGATION(S):

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Staff failed to prevent child from being bullied

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPA's) Cherie Acosta and Diana Campos arrived at the facility for the purpose of conducting a complaint investigation regarding the above allegation. Present during this investigation were 3 staff and 4 school age children. Interviews were conducted and records reviewed. It was alleged that staff failed to prevent child from being bullied. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur. Therefore, the allegation is unsubstantiated.

A Notice of Site Visit was provided and must remain posted for 30 days. Exit interview conducted with Center Director Laronda Levias-Mallory.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Diana Campos	TELEPHONE: (510) 873-6322
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2022

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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