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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013423699
Report Date: 11/13/2024
Date Signed: 11/13/2024 10:06:15 AM

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
08/22/2024 and conducted by Evaluator Indira Loza
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20240822215139
FACILITY NAME:HARVEY, ATIYAFACILITY NUMBER:
013423699
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 3DATE:
11/13/2024
UNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Atiya HarveyTIME COMPLETED:
10:15 AM
ALLEGATION(S):
1
2
3
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5
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8
9
Uncleared adult residing in the daycare home
INVESTIGATION FINDINGS:
1
2
3
4
5
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7
8
9
10
11
12
13
On November 13, 2024 at 9:05am Licensing Program Analyst (LPA) Indira Loza met with Licensee Atiya Harvey for the purpose of conducting the complaint investigation for the above allegation. Present during today's visit were the Licensee, two infants, and one preschooler. The daycare was toured for a health and safety check.

During the course of the investigation the home was thoroughly toured and interviews were conducted with parents, staff, and one child was interviewed. Based on the interviews and daycare observations conducted it was determined that the only person residing in the home is the Licensee. Therefore, the allegation of an uncleared adult residing in the daycare home was UNSUBSTANTIATED, meaning that the allegation may have happened or is valid but there is not a preponderance of evidence to prove the alleged violation did or did not occur.
No deficiencies were cited during today's visit. Exit interview conducted. Report and Appeal Rights provided to Licensee Atiya Harvey. 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: 11/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024
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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