<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013420975
Report Date: 11/01/2022
Date Signed: 11/16/2022 02:16:48 PM

Substantiated


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
10/25/2022 and conducted by Evaluator Catherine Fernandes
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20221025093201
FACILITY NAME:ACADEMIA DE MI ABUELAFACILITY NUMBER:
013420975
ADMINISTRATOR:REIMANN, CYNTHIAFACILITY TYPE:
850
ADDRESS:2162 MOUNTAIN BLVD STE 300TELEPHONE:
(510) 336-7082
CITY:OAKLANDSTATE: CAZIP CODE:
94611
CAPACITY:53CENSUS: 28DATE:
11/01/2022
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Cynthia ReimannTIME COMPLETED:
03:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility retaliating against day-care child.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/1/22, at 10:45AM, Licensing Program Analysts (LPAs) Catherine Fernandes and Indira Loza arrived on a complaint investigation and met with Assistant Director Yaneldis Diaz. Present in care was 28 preschoolers and five teachers and one assistant. Towards the end of the inspection Director Cynthia Reimann arrived. During the inspection LPAs did a walk through of the center, reviewed center documents and conducted interviews.
The center received a waiver during COVID that allowed the center to care for infants and school age children in addition to preschoolers, however the center no longer has a valid waiver as of 10/31/2022. The center had to terminate all infants and school age children, however in doing so the center also terminated four families in the preschool class. Based on interviews and documents the four families that were disenrolled from the preschool program were families that were most impacted by the recent complaint filed on 8/29/22. Therefore, the allegation is SUBSTANTIATED, the preponderance of evidence standard has been met. Title 22, California Code of Regulations are being cited on the attached LIC 9099 D.

Exit interview conducted Report and Appeal Rights Provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2022
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 2
Control Number 02-CC-20221025093201
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: ACADEMIA DE MI ABUELA
FACILITY NUMBER: 013420975
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/01/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/29/2022
Section Cited
HSC
1568.07(d)
1
2
3
4
5
6
7
 A licensee... shall not discriminate or retaliate in any manner, including, but not limited to, eviction or threat of eviction, against any person receiving the services of the licensee’s facility... on the basis, or for the reason, that the person or any other person initiated or participated in the filing of a complaint, grievance, or a request for
1
2
3
4
5
6
7
Licensee is to review the health and safety code 1568.07 and send an updated admission agreement to include a termination procedure, then send the updated contract to CCL by POC due date.
8
9
10
11
12
13
14
inspection with the department.. This requirement has not been met as evidenced by:
Based on interviews and center documents the families that were let go in the preschool program were the most impacted by the recent complaint, which is a potential personal rights against the children in care.
8
9
10
11
12
13
14
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: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2