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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013423679
Report Date: 06/01/2023
Date Signed: 06/01/2023 01:31:10 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
05/12/2023 and conducted by Evaluator Indira Loza
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20230512184520
FACILITY NAME:SANTANA, GERALDOFACILITY NUMBER:
013423679
ADMINISTRATOR:SANTANA, GERALDOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 527-1652
CITY:BERKELEYSTATE: CAZIP CODE:
94702
CAPACITY:14CENSUS: 5DATE:
06/01/2023
UNANNOUNCEDTIME BEGAN:
11:52 AM
MET WITH:Geraldo SantanaTIME COMPLETED:
01:32 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Physical Plant - Facility uses rat poison to kill rodents in area(s) accessible to children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On June 1, 2023 at 11:52am, Licensing Program Analyst (LPA) Indira Loza arrived unannounced on a complaint investigation inspection and met with Licensee Geraldo Santana.

LPA conducted a tour of the facility. During the course of the investigation LPA conducted staff and parent interviews and collected any documents pertaining to the investigation. All of the children are currently non-verbal and interviews with the children were unable to be conducted. LPA could find any evidence to support the allegation. 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 the allegation is deemed unsubstantiated

An exit interview was conducted with Licensee Geraldo Santana.
Complaint Investigation Report and Appeal Rights provided.
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: 06/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2023
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 2
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
05/12/2023 and conducted by Evaluator Indira Loza
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20230512184520

FACILITY NAME:SANTANA, GERALDOFACILITY NUMBER:
013423679
ADMINISTRATOR:SANTANA, GERALDOFACILITY TYPE:
810
ADDRESS:1112 CARLETON STREETTELEPHONE:
(510) 527-1652
CITY:BERKELEYSTATE: CAZIP CODE:
94702
CAPACITY:14CENSUS: 5DATE:
06/01/2023
UNANNOUNCEDTIME BEGAN:
11:52 AM
MET WITH:Geraldo SantanaTIME COMPLETED:
01:32 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights - Facility left a dead animal in an area accessible to children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On June 1, 2023 at 11:52am, Licensing Program Analyst (LPA) Indira Loza arrived unannounced on a complaint investigation inspection and met with Licensee Geraldo Santana.

LPA conducted a tour of the facility. During the course of the investigation LPA conducted staff and parent interviews and collected any documents pertaining to the investigation. All of the children are currently non-verbal and interviews with the children were unable to be conducted. There was no evidence that a dead rat was left at the facility in an area accessible to children.

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 the allegation is deemed unsubstantiated

An exit interview was conducted with Licensee Geraldo Santana.
Complaint Investigation Report and Appeal Rights provided.
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: 06/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2023
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 2