010206137-5-1-2026-02-CC-MMEA-DUVVKL-20260609163027

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 010206137
Report Date: 05/01/2026
Date Signed: 05/01/2026 01:41:57 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 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
02/09/2026 and conducted by Evaluator Paulita De La Cruz

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20260209112305

FACILITY NAME:	OUSD - HARRIET TUBMAN		FACILITY NUMBER:	010206137
ADMINISTRATOR:	REED, VONZELE		FACILITY TYPE:	850
ADDRESS:	800-33RD STREET		TELEPHONE:	(510) 654-7890
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94608
CAPACITY:	72	CENSUS: 32	DATE:	05/01/2026
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Stephanie Joseph		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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9

Personal Rights: Child received multiple skin abrasions from staff.

INVESTIGATION FINDINGS:

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On 5/1/2026 at 11:00AM, Licensing Program Analyst (LPA) Paulita De La Cruz met with Compliance Coordinator, Stephanie Joseph, for an unannounced visit to deliver findings on the above allegation. Thirty-two (32) children and eight (8) staff were present today. An allegation was made that a child received multiple skin abrasions from staff. Based on interviews conducted during the course of this investigation, LPA received conflicting information. The above allegation is UNSUBSTANTIATED which means although the allegation may have happened or is valid, the preponderance of evidence to prove the alleged violation did or did not occur has not been met. There was no deficiency cited for this allegation.

Ms. Joseph had a prior engagement and could not stay for the duration of this visit. Ms. Joseph was informed by LPA of the allegation determination and teacher, Duane Poteat has been designated to represent the center and sign/acknowledge receipt of this report. An exit interview was conducted with facility representative, Duane Poteat. Notice of Site Visit form must be posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Paulita De La Cruz
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2026

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 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
02/09/2026 and conducted by Evaluator Paulita De La Cruz

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20260209112305

FACILITY NAME:	OUSD - HARRIET TUBMAN		FACILITY NUMBER:	010206137
ADMINISTRATOR:	REED, VONZELE		FACILITY TYPE:	850
ADDRESS:	800-33RD STREET		TELEPHONE:	(510) 654-7890
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94608
CAPACITY:	72	CENSUS: 32	DATE:	05/01/2026
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Stephanie Joseph		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Reporting Requirements: Facility did not report an incident to parent

INVESTIGATION FINDINGS:

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

On 5/1/2026 at 11:00AM, Licensing Program Analyst (LPA) Paulita De La Cruz met with Compliance Coordinator, Stephanie Joseph, for an unannounced visit to deliver the findings on the above allegation. Thirty-two (32) children and eight (8) staff were present today. An allegation was made that the facility did not report an incident to parent. During the course of the investigation, based on staff interviews, the preponderance of evidence standard has been met, therefore this allegation was found to be SUBSTANTIATED. Title 22, Section 101212(f) was cited during today's visit. A Type B deficiency was cited today on LIC 9099-D following this page.

Ms. Joseph had a prior engagement and could not stay for the duration of this visit. Ms. Joseph was informed by LPA of the allegation determination and teacher, Duane Poteat has been designated to represent the center and sign/acknowledge receipt of this report. An exit interview was conducted with facility representative, Mr. Poteat. Appeal Rights were provided to Mr. Notice of Site Visit form must be posted for 30 days.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Paulita De La Cruz
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2026

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 3

Control Number 02-CC-20260209112305

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: OUSD - HARRIET TUBMAN	FACILITY NUMBER: 010206137
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/01/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 05/11/2026 Section Cited CCR 101212(f)	1 2 3 4 5 6 7	101212 Reporting Requirements (f) The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative.	1 2 3 4 5 6 7	The center will plan to conduct an all staff training on reporting requirements to ensure non-recurrence of incident(s) of this nature. A plan and agenda must be sent to LPA De La Cruz no later than 5/11/2026 via email at paulita.delacruz@dss.ca.gov.
	8 9 10 11 12 13 14	This regulation has not been met as evidenced by:Based on staff interviews and record review conducted during the course of the investigation, it was determined that the center failed to report an incident to parent	8 9 10 11 12 13 14	A copy of the regulation section Reporting Requirements (2 pages) was provided to facility representative to be used as reference for items (d)(1)(A) mentioned on paragraph (f) of the citation.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Paulita De La Cruz
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2026

LIC9099 (FAS) - (06/04)

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