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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 010213812
Report Date: 04/05/2021
Date Signed: 04/05/2021 02:42:00 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
01/29/2021 and conducted by Evaluator Catherine Fernandes
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20210129110341
FACILITY NAME:EMERYVILLE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
010213812
ADMINISTRATOR:PORTER, LOISFACILITY TYPE:
850
ADDRESS:1220 - 53RD STREETTELEPHONE:
(510) 596-4343
CITY:EMERYVILLESTATE: CAZIP CODE:
94608
CAPACITY:90CENSUS: 38DATE:
04/05/2021
ANNOUNCEDTIME BEGAN:
01:43 PM
MET WITH:Lois Porter TIME COMPLETED:
02:44 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Administrator spoke inappropriate to a child in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On April 5, 2021 at 1:43PM, Licensing Program Analyst (LPA) Catherine Fernandes conducted a tele-visit with Administrator Lois Porter to deliver the finding to the above complaint allegation. Due to COVID-19 the inspection was via telephone. During the course of the investigation LPA Fernandes conducted interviews and reviewed documents pertaining to the complaint.

An allegation was made that the administrator spoke inappropriate to child 1, however interviews indicated conflicting information. Therefore the above allegation is UNSUBSTANTIATED. 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.

Exit interview conducted
Report and Appeal right provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine FernandesTELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:

DATE: 04/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2021
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 3
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
01/29/2021 and conducted by Evaluator Catherine Fernandes
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20210129110341

FACILITY NAME:EMERYVILLE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
010213812
ADMINISTRATOR:PORTER, LOISFACILITY TYPE:
850
ADDRESS:1220 - 53RD STREETTELEPHONE:
(510) 596-4343
CITY:EMERYVILLESTATE: CAZIP CODE:
94608
CAPACITY:90CENSUS: 38DATE:
04/05/2021
ANNOUNCEDTIME BEGAN:
01:43 PM
MET WITH:Lois Porter TIME COMPLETED:
02:44 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
A child is being forced to nap while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On April 5, 2021 at 1:43PM, Licensing Program Analyst (LPA) Catherine Fernandes conducted a tele-visit with Administrator Lois Porter to deliver the finding to the above complaint allegation. Due to COVID-19 the inspection was via telephone. During the course of the investigation LPA Fernandes conducted interviews and reviewed documents pertaining to the complaint.

An allegation was made that child 1 is being forced to take a nap however conflicting interviews indicated that child 1 does not have to nap. Children do however need to have relax/ time quiet time from 1:00PM to 3:00PM. Therefore the above allegation is UNSUBSTANTIATED. 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.

Exit interview conducted
Report and Appeal right provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine FernandesTELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:

DATE: 04/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2021
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 3
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
01/29/2021 and conducted by Evaluator Catherine Fernandes
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20210129110341

FACILITY NAME:EMERYVILLE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
010213812
ADMINISTRATOR:PORTER, LOISFACILITY TYPE:
850
ADDRESS:1220 - 53RD STREETTELEPHONE:
(510) 596-4343
CITY:EMERYVILLESTATE: CAZIP CODE:
94608
CAPACITY:90CENSUS: 38DATE:
04/05/2021
ANNOUNCEDTIME BEGAN:
01:43 PM
MET WITH:Lois Porter TIME COMPLETED:
02:44 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Awake child is not provided with quiet activity during napping periods
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On April 5, 2021 at 1:43PM, Licensing Program Analyst (LPA) Catherine Fernandes conducted a tele-visit with Administrator Lois Porter to deliver the finding to the above complaint allegation. Due to COVID-19 the inspection was via telephone. During the course of the investigation LPA Fernandes conducted interviews and reviewed documents pertaining to the complaint.

An allegation was made that child 1 is not provided quiet activities however interviews indicated that child 1 is provided reading materials, coloring books and as of February 2021 a CD player that reads a book to the child. LPA Fernandes also observed the child with quiet activities on March 25th, 2021. Therefore the above allegation is UNSUBSTANTIATED. 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.

Exit interview conducted
Report and Appeal right provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine FernandesTELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:

DATE: 04/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2021
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 3