013423114-11-7-2023-02-CC-MMEA-CYEPF3-20231211101603

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 013423114
Report Date: 11/07/2023
Date Signed: 11/07/2023 01:05:09 PM

Unsubstantiated

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
09/26/2023 and conducted by Evaluator Indira Loza

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20230926102811

FACILITY NAME:	UC BERKELEY-DWIGHT WAY CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	013423114
ADMINISTRATOR:	ALVARADO, BORIS		FACILITY TYPE:	850
ADDRESS:	2427 DWIGHT WAY		TELEPHONE:	(510) 642-0104
CITY:	BERKELEY	STATE: CA	ZIP CODE:	94720
CAPACITY:	24	CENSUS: 18	DATE:	11/07/2023
		UNANNOUNCED	TIME BEGAN:	11:51 AM
MET WITH:	Boris Alvarado		TIME COMPLETED:	01:11 PM

ALLEGATION(S):

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Personal Rights - Day care child sustained an unexplained bruise while in care.

INVESTIGATION FINDINGS:

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On November 7, 2023 at 11:51am Licensing Program Analyst (LPA) Indira Loza met with Director Boris Alvarado for the purpose of delivering the complaint findings for the above allegation. LPA toured the facility for a health and safety check. Present during today's inspection were 18 preschool age children and 5 staff. During the course of the investigation LPA conducted staff and parent interviews.

Staff and parent interviews indicated that although the child did have a bruise on their cheek, it has been unknown as to where the injury took place, either at schol or at home. 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 this complaint has been concluded to be Unsubstantiated.

Exit interview conducted.
Report and Appeal Rights reviewed and provided to Director Boris Alvarado.
Notice of Site Visit must remain posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:	DATE: 11/07/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2023

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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