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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013423944
Report Date: 01/27/2025
Date Signed: 01/27/2025 01:35:58 PM

Substantiated


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
01/24/2025 and conducted by Evaluator Catherine Fernandes
COMPLAINT CONTROL NUMBER: 02-CC-20250124103330
FACILITY NAME:KAHN, VANESSAFACILITY NUMBER:
013423944
ADMINISTRATOR:VANESSA KAHNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 455-9553
CITY:OAKLANDSTATE: CAZIP CODE:
94608
CAPACITY:14CENSUS: 8DATE:
01/27/2025
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Vanessa KahnTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Licensee allows uncleared adult to provide care and supervision
INVESTIGATION FINDINGS:
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On 1/27/25, at 8:15AM, Licensing Program Analysts (LPAs) Catherine Fernandes and Mario Caro arrived unannounced on a complaint investigation and met with Licensee Vanessa Kahn. Present in care were four infants, and four preschoolers in care with an additional two staff members. During the investigation LPA Fernandes conducted interviews, reviewed documents regarding the above allegation and did a walk through of the home.
Based on conformation from the Licensee and file reviews, Dyhia Berkani and Thinhinane Berkani are not finger print cleared and have been working at the child care home for over a month. Therefore, the allegation is SUBSTANTIATED, the preponderance of evidence standard has been met. Title 22, California Code of Regulations are being cited on the attached LIC 9099 D.

LPAs Fernandes and Caro informed licensee Kahn that this report dated 1/27/25 documents one Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.
Report continues on 9099C.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:

DATE: 01/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2025
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-20250124103330
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: KAHN, VANESSA
FACILITY NUMBER: 013423944
VISIT DATE: 01/27/2025
NARRATIVE
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Also, LPAs informed the licensee to provide a copy of this licensing report dated 1/27/25 that documents any Type A citations to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

*Notice of Site visit must be posted for 30 days

Exit interview conducted with Licensee Kahn
Report, Appeal Rights, Notice of site Visit, Civil penalty and 9224 provided.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:

DATE: 01/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 02-CC-20250124103330
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: KAHN, VANESSA
FACILITY NUMBER: 013423944
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/28/2025
Section Cited
CCR
102416(d)(1)
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Personnel Requirements- Prior to employment or initial presence in the child care home, all employees and volunteers subject to a criminal record review shall: Obtain a California clearance or a criminal record exemption as required by law or Department regulations. This requirement has
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Licensee will remove Thinhinane and Dylia Berkani from the home until clearance is granted.
* cleared during visit.

A civil penalty has been assessed in the amount of $1000.
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not been met as evidenced by: Based on record reviews and conformation from the Licensee two staff members do not have clearance to be in the home providing care to children which is an immediate safety risk to 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: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:

DATE: 01/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3