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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013420568
Report Date: 11/08/2024
Date Signed: 11/08/2024 03:20:16 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
11/01/2024 and conducted by Evaluator Diana Campos
COMPLAINT CONTROL NUMBER: 02-CC-20241101105528
FACILITY NAME:CCLC - CLIF BASE CAMP CHILD CARE CENTERFACILITY NUMBER:
013420568
ADMINISTRATOR:WOO, LANIFACILITY TYPE:
830
ADDRESS:6529 HOLLIS STREETTELEPHONE:
(510) 596-6699
CITY:EMERYVILLESTATE: CAZIP CODE:
94608
CAPACITY:17CENSUS: 9DATE:
11/08/2024
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Elizabeth MurrayTIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility did not follow safe sleep practices
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analysts (LPAs) J. Vargas and D. Campos met with Center Director Elizabeth Murray for a complaint investigation regarding the above allegation. Present were 4 staff and 9 children in care consisting of 9 infants. It was alleged that the facility did not follow safe sleep practices. During the course of the investigation, interviews were conducted and files were reviewed. Due to inconsistent statements given to the LPAs, LPAs could not determine the facility did not follow safe sleep practices. During the investigation, safe sleep regulations were discussed. Based on the investigative findings, there was no evidence to determine whether or not the facility did not follow safe sleep practices. 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 at this time.

Notice of Site Visit provided must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2024
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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