015700535-5-3-2023-52-CC-CCHS-CRJVCH-20230505161910

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 015700535
Report Date: 05/03/2023
Date Signed: 05/03/2023 09:31:45 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/26/2023 and conducted by Evaluator Elimika Woods

COMPLAINT CONTROL NUMBER: 52-CC-20230426130741

FACILITY NAME:	KIDANGO PEIXOTO		FACILITY NUMBER:	015700535
ADMINISTRATOR:	NEAL, DA NASIA		FACILITY TYPE:	830
ADDRESS:	29150 RUUS ROAD		TELEPHONE:	(510) 516-7378
CITY:	HAYWARD	STATE: CA	ZIP CODE:	94544
CAPACITY:	100	CENSUS: 6	DATE:	05/03/2023
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Da Nasia Neal		TIME COMPLETED:	08:46 AM

ALLEGATION(S):

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Other-Facility had an outbreak of hand, foot and mouth.

INVESTIGATION FINDINGS:

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On May 3, 2023 at 8:30 AM Licensing Program Analysts (LPA) Elimika Woods conducted an unannounced inspection to conclude a complaint investigation and met with the facility representative, Da Nasia Neal and advised her the purpose of the inspection. There were six children and two additional staff members present at the time of the inspection. The facility was toured inside and out by the LPA and representative.

LPA conducted interviews with the director regarding the allegation that the facility had an outbreak of hand, foot, and mouth. Based on the interviews and observations conducted, this agency has investigated the complaint. 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 unsubstantiated at this time.

An exit interview was conducted with the facility representative, Da Nasia Neal.
A notice of site visit was posted and must remain posted for a period of 30 days.

Unsubstantiated

Estimated Days of Completion: 10

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Elimika Woods
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023

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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