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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 010214276
Report Date: 05/14/2025
Date Signed: 05/14/2025 01:38:12 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/18/2025 and conducted by Evaluator Randy Miranda
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20250418140442
FACILITY NAME:BARRERA, LILLIANFACILITY NUMBER:
010214276
ADMINISTRATOR:BARRERA, LILLIANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 648-5830
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY:12CENSUS: 8DATE:
05/14/2025
UNANNOUNCEDTIME BEGAN:
12:53 PM
MET WITH:Lillian BarreraTIME COMPLETED:
01:53 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Criminal Record Clearance
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On May 14, 2025, at 12:53pm Licensing Program Analysts (LPA) Randy Miranda met with licensee Lillian Barrera to deliver the findings from a complaint investigation for the above allegation. Present during the inspection was the licensee, licensee’s spouse, and 8 children in care (one 3.5-year-old, two 3-year-old, three 2-year-old, and two 1.5-year-old).

Based on interviews and record reviews, the allegation that an uncleared adult was allowed into or is living in the facility during day care hours, 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 given and must remain posted for 30 days. Appeal Rights provided and discussed.
An exit interview was conducted with licensee Lillian Barrera.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2025
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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