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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013423944
Report Date: 03/13/2024
Date Signed: 03/13/2024 01:24:29 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 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
03/08/2024 and conducted by Evaluator Ashley Akinleye
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20240308150015
FACILITY NAME:KAHN, VANESSAFACILITY NUMBER:
013423944
ADMINISTRATOR:VANESSA KAHNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 455-9553
CITY:OAKLANDSTATE: CAZIP CODE:
94608
CAPACITY:14CENSUS: 12DATE:
03/13/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Vanessa KahnTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Unlicensed care being provided.
INVESTIGATION FINDINGS:
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On 3/13/24 at 10:00am Licensing Program Analysts (LPAs) Ashley Akinleye, Monica Mathur and Cherie Acosta conducted an unannounced complaint investigation, met with Vanessa Kahn and explained the reason for the visit.

During the course of the investigation LPAs toured the premises, conducted interviews and made observations. There were 12 children present (4 infants and 8 preschool children) and 3 employees/staff present (including room mate Alejandro). Per Vanessa, she does not reside at this address but has been operating childcare for 1 year. Children belong to different families who pay for services provided. The premises include 3 separate dwellings in total that share the backyard outdoor space.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Ashley Akinleye
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2024
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-20240308150015
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: KAHN, VANESSA
FACILITY NUMBER: 013423944
VISIT DATE: 03/13/2024
NARRATIVE
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Based on the interviews and information obtained throughout the investigation, the preponderance of evidence standard has been met. Therefore, the allegation is SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 is being cited on 9099-D page as it posed an immediate risk to health and safety of children in care.

This address was previously cited for unlicensed care on 2/7/24 when there were 17 children present during the investigation.

There is a pending application for a Family Child Care Home from Vanessa Kahn for this address. Applicant agreed to continue working with licensing to obtain a license.

Exit interview conducted with Vanessa Kahn. Appeal rights were discussed, printed and provided to Vanessa Kahn for review. A copy of the report was provided to Vanessa Kahn.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Ashley Akinleye
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 02-CC-20240308150015
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: KAHN, VANESSA
FACILITY NUMBER: 013423944
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/13/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/13/2024
Section Cited
HSC
1597.61(a)
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1597.61 Operation without license; notice; cease and desist order; action to enjoin; conduct of prosecution (a) When the department determines that a family day care home for children is operating without a license [...] the licensing agency may issue a cease and desist order [...]. This requirement is not met as evidenced by:
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In order to come into compliance, Vanessa must cease unlicensed operations immedately and continue working on the pending application with licensing office to obtain a license for a family child care home.
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Based on Interviews, observation and record reviews the applicant is operating unlicensed childcare which poses an immediate risk to health, safety of children in care.
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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: Sherelle Johnson
LICENSING EVALUATOR NAME: Ashley Akinleye
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3