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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013422003
Report Date: 07/23/2026
Date Signed: 07/23/2026 10:22:59 AM

Substantiated


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
05/08/2026 and conducted by Evaluator Paulita De La Cruz
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20260508103148
FACILITY NAME:OUSD - UNITED NATION CHILD DEVELOPMENT CENTERFACILITY NUMBER:
013422003
ADMINISTRATOR:MANSKER, ANNAFACILITY TYPE:
850
ADDRESS:1025 - 4TH AVETELEPHONE:
(510) 273-1616
CITY:OAKLANDSTATE: CAZIP CODE:
94606
CAPACITY:168CENSUS: 48DATE:
07/23/2026
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:MIRSHA HEREDIA GOMEZTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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Reporting Requirements: Staff did not notify parent of child pulling another child's hair
INVESTIGATION FINDINGS:
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On 7/23/2026 at 8:15AM, Licensing Program Analyst (LPA) Paulita De La Cruz met with center director Ms. Mirsha Heredia Gomez, for an unannounced visit to deliver the findings on the above allegation. Forty-eight (48) children and twelve (12) staff were present during this visit. An allegation was made that staff did not prevent day care child from pulling another child's hair. Based on interviews conducted during the course of this investigation, the preponderance of evidence has been met. The above allegation was found to be SUBSTANTIATED.

A Type B deficiency citing Title 22, Section 101212(d)(1)(C) was issued during today's visit on LIC 9099-D following this page.

An exit interview was conducted with center director, Ms. Gomez. This report and Appeal Rights were provided. The Notice of Site Visit form was also provided and must be posted for 30 consecutive days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Paulita De La Cruz
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2026
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 4
Control Number 02-CC-20260508103148
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: OUSD - UNITED NATION CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 013422003
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/23/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/23/2026
Section Cited
CCR
101212(d)(1)(C)
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Reporting Requirements: (d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event.
(1) Events reported shall include the following:
(C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child.
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The center shall conduct an all staff training on reporting requirements to ensure non-recurrence of incident(s) of the same or similar in nature. A plan and agenda must be sent to LPA De La Cruz no later than August 7, 2026. Proof of staff attendance must also be sent to LPA within 1 week of concluding the training. Plan/agenda and proof of attendance must be sent via email to LPA at paulita.delacruz@dss.ca.gov.
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This regulation was not met as evidenced by: Staff interviews and record reviews conducted during the course of the investigation, it was determined that the center failed to report an incident that occurred sometime in December 2025.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Paulita De La Cruz
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
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
05/08/2026 and conducted by Evaluator Paulita De La Cruz
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20260508103148

FACILITY NAME:OUSD - UNITED NATION CHILD DEVELOPMENT CENTERFACILITY NUMBER:
013422003
ADMINISTRATOR:MANSKER, ANNAFACILITY TYPE:
850
ADDRESS:1025 - 4TH AVETELEPHONE:
(510) 273-1616
CITY:OAKLANDSTATE:CAZIP CODE:
94606
CAPACITY:168CENSUS: 48DATE:
07/23/2026
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:MIRSHA HEREDIA GOMEZTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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9
Personal Rights: Staff did not prevent day care child from pulling out another child's hair
INVESTIGATION FINDINGS:
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On 7/23/2026 at 8:15AM, Licensing Program Analyst (LPA) Paulita De La Cruz met with center director, Ms. Mirsha Heredia Gomez for an unannounced visit to deliver findings on the above allegation. Forty-eight (48) children and twelve (12) staff were present today. An allegation was made that staff did not prevent day care child from pulling out another child's hair. Based on interviews conducted during the course of this investigation, LPA received conflicting information. The above allegation is UNSUBSTANTIATED which means although the allegation may have happened or is valid, the preponderance of evidence to prove the alleged violation did or did not occur has not been met.

There was no citation issued for the above allegation.

An exit interview was conducted with center director, Ms. Gomez. This report and Appeal Rights were provided. The Notice of Site Visit form was also provided and must be posted for 30 consecutive days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Paulita De La Cruz
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2026
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 4