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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013423679
Report Date: 03/07/2023
Date Signed: 03/07/2023 02:35:19 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
02/16/2023 and conducted by Evaluator Indira Loza
COMPLAINT CONTROL NUMBER: 02-CC-20230216114520
FACILITY NAME:SANTANA, GERALDOFACILITY NUMBER:
013423679
ADMINISTRATOR:SANTANA, GERALDOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 527-1652
CITY:BERKELEYSTATE: CAZIP CODE:
94702
CAPACITY:14CENSUS: 4DATE:
03/07/2023
UNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Geraldo SantanaTIME COMPLETED:
02:42 PM
ALLEGATION(S):
1
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9
Personal Rights - Provider is harrassing neighbor's dog in the presence of daycare children
INVESTIGATION FINDINGS:
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2
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5
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13
On March 7, 2023 at 10:55am Licensing Program Analyst (LPA) Indira Loza arrived unannounced on a complaint investigation and met with Licensee Geraldo Santana. Present in care were four infants and one staff.

During the inspection LPA did a walk through of the home and conducted interviews. The allegation states that the Licensee was harrassing neighbor's dog in the presence of daycare children. After conducting interviews, record reviews, and observations, it has been determined that this complaint is UNSUBSTANTIATED due to the lack of evidence. 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 at the facility.

Exit interview conducted with Licensee Geraldo Santana.
Report and Appeal rights were reviewed
Notice of site visit must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Indira LozaTELEPHONE: 510-368-3672
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023
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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