010211122-10-23-2025-02-CC-MMEA-DP23BX-20251203170705

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 010211122
Report Date: 10/23/2025
Date Signed: 10/23/2025 12:27:42 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
07/29/2025 and conducted by Evaluator Indira Loza

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20250729084456

FACILITY NAME:	MODEL SCHOOL COMPREHENSIVE HUMANISTIC LEARNING CTR		FACILITY NUMBER:	010211122
ADMINISTRATOR:	YVONNE STEEN		FACILITY TYPE:	830
ADDRESS:	2330 PRINCE STREET		TELEPHONE:	(510) 549-2711
CITY:	BERKELEY	STATE: CA	ZIP CODE:	94705
CAPACITY:	13	CENSUS: 7	DATE:	10/23/2025
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Najwa Salih		TIME COMPLETED:	12:40 PM

ALLEGATION(S):

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Staff did not ensure care and supervision was provided resulting in child ingesting non food items while in care.
Staff did not ensure reporting requirements were followed.

INVESTIGATION FINDINGS:

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On October 23, 2025 at 9:00am Licensing Program Analysts (LPAs) Indira Loza and Catherine Fernandes arrived at the center to deliver the findings to the above allegation. Present during today's visit were 7 infants and two fingerprint cleared staff. During the course of the investigation LPAs conducted staff and parent interviews, observed the classroom, and reviewed children and staff files.
Interviews provided conflicting information based on the above allegations. 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 unsubstantiated.

Exit Interview Conducted. Report and appeal rights provided. Notice of Site Visit must remain posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:	DATE: 10/23/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2025

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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