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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013423130
Report Date: 07/15/2024
Date Signed: 07/15/2024 02:35:08 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
06/26/2024 and conducted by Evaluator Ashley Curry
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20240626085256
FACILITY NAME:ARBOR PRESCHOOL COLLEGEFACILITY NUMBER:
013423130
ADMINISTRATOR:JOHNSTON, KELLYFACILITY TYPE:
850
ADDRESS:5830 COLLEGE AVENUETELEPHONE:
(360) 461-6466
CITY:OAKLANDSTATE: CAZIP CODE:
94618
CAPACITY:34CENSUS: 27DATE:
07/15/2024
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Casey MooreheadTIME COMPLETED:
02:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Unqualified staff providing care to day care children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 07/15/2024 at 12:00PM Licensing Program Analyst (LPA), A. Curry conducted an unannounced subsequent complaint visit. LPA met with the Director, Casey Moorehead, to discuss the above allegation. LPA previously toured the facility, made observations, retrieved documentation, reviewed staff files, and conducted interviews. During the course of the investigation, it could not be determined that unqualified staff are providing care to day care children. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur. This allegation is Unsubstantiated.

Exit interview conducted, appeal rights were given, and report was reviewed with the Director, Casey Moorehead.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2024
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 6
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
06/26/2024 and conducted by Evaluator Ashley Curry
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20240626085256

FACILITY NAME:ARBOR PRESCHOOL COLLEGEFACILITY NUMBER:
013423130
ADMINISTRATOR:JOHNSTON, KELLYFACILITY TYPE:
850
ADDRESS:5830 COLLEGE AVENUETELEPHONE:
(360) 461-6466
CITY:OAKLANDSTATE: CAZIP CODE:
94618
CAPACITY:34CENSUS: 27DATE:
07/15/2024
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Casey MooreheadTIME COMPLETED:
02:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not ensure they were not out of ratio
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 07/15/2024 at 12:00PM Licensing Program Analyst (LPA), A. Curry conducted an unannounced subsequent complaint visit. LPA met with the Director, Casey Moorehead, to discuss the above allegation. LPA previously toured the facility, made observations, retrieved documentation, and conducted interviews. During the investigation, it could not be determined that the facility was operating out of ratio. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur. This allegation is Unsubstantiated.

Exit interview conducted, appeal rights were given, and report was reviewed with the Director, Casey Moorehead.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 6
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
06/26/2024 and conducted by Evaluator Ashley Curry
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20240626085256

FACILITY NAME:ARBOR PRESCHOOL COLLEGEFACILITY NUMBER:
013423130
ADMINISTRATOR:JOHNSTON, KELLYFACILITY TYPE:
850
ADDRESS:5830 COLLEGE AVENUETELEPHONE:
(360) 461-6466
CITY:OAKLANDSTATE: CAZIP CODE:
94618
CAPACITY:34CENSUS: 27DATE:
07/15/2024
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Casey MooreheadTIME COMPLETED:
02:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not ensure day care children didn't have access to hazardous items
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 07/15/2024 at 12:00PM Licensing Program Analyst (LPA), A. Curry conducted an unannounced subsequent complaint visit. LPA met with the Director, Casey Moorehead, to discuss the above allegation. LPA previously toured the facility, made observations, retrieved documentation, reviewed staff files, and conducted interviews. During the course of the investigation, it could not be determined that children had access to hazardous items. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur. This allegation is Unsubstantiated.

Exit interview conducted, appeal rights were given, and report was reviewed with the Director, Casey Moorehead.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2024
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 6