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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013423615
Report Date: 11/16/2023
Date Signed: 11/16/2023 02:40:56 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
09/18/2023 and conducted by Evaluator Diana Campos
COMPLAINT CONTROL NUMBER: 02-CC-20230918134733
FACILITY NAME:REYES, ANDREAFACILITY NUMBER:
013423615
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 2DATE:
11/16/2023
UNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Andrea ReyesTIME COMPLETED:
02:50 PM
ALLEGATION(S):
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9
Licensee's behavior poses a risk to children in care
INVESTIGATION FINDINGS:
1
2
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LPA's Diana Campos and Indira Loza met with licensee Andrea Reyes for a complaint investigation regarding the above allegation. Present were licensee, her fingerprint cleared sister and 2 children in care consisting of 1 infant and 1 preschooler. It was alleged that licensee's behavior poses a risk to children in care due to strong smell of marijuana and allegations of licensee smoking and drinking. During the course of the investigation, interviews and observations were conducted and children's personal rights were discussed. Based on the investigative findings, there was no evidence to determine whether or not the licensee's behavior poses a risk to children in care. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur. Therefore, the allegation is unsubstantiated.

A SITE VISIT NOTICE WAS POSTED BY LICENSEE.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023
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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