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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013423729
Report Date: 12/18/2023
Date Signed: 01/09/2024 10:05:39 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
11/16/2023 and conducted by Evaluator Catherine Fernandes
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20231116084051
FACILITY NAME:SUPPORTING FUTURE GROWTH CDC, INC.FACILITY NUMBER:
013423729
ADMINISTRATOR:FEARS, LOISFACILITY TYPE:
830
ADDRESS:8411 MACARTHUR BOULEVARDTELEPHONE:
(510) 567-8362
CITY:OAKLANDSTATE: CAZIP CODE:
94605
CAPACITY:18CENSUS: 0DATE:
12/18/2023
UNANNOUNCEDTIME BEGAN:
12:52 PM
MET WITH:Janet MorrisTIME COMPLETED:
01:40 PM
ALLEGATION(S):
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9
Day care child sustained unexplained injuries while in care.
INVESTIGATION FINDINGS:
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**This is an amended version of the original report dated December 18, 2023**
On 12/18/23, at 12:58PM, Licensing Program Analyst (LPA) Catherine Fernandes arrived unannounced to deliver the findings to the above allegation and met with Janet Morris. There were no infants present in care. During the investigation LPA Fernandes conducted interviews, and observed the classrooms.

Although a child had scratches on their face, everyone who was interviewed stated the scratches were caused by magnets, however it is unknown if the scratches occurred at home or in the facility. While 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.

Exit interview conducted with Janet Morris.
Appeal Rights, Report, Notice of Site visit provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2023
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 3
Control Number 02-CC-20231116084051
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: SUPPORTING FUTURE GROWTH CDC, INC.
FACILITY NUMBER: 013423729
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/18/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
CCR
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3