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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 015700580
Report Date: 03/20/2026
Date Signed: 03/20/2026 10:23:41 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
02/10/2026 and conducted by Evaluator Elimika Woods
COMPLAINT CONTROL NUMBER: 52-CC-20260210125858
FACILITY NAME:HUSD - BURBANK PRESCHOOLFACILITY NUMBER:
015700580
ADMINISTRATOR:RUBIO, ANN KRISTINNEFACILITY TYPE:
850
ADDRESS:222 BURBANK STREETTELEPHONE:
(510) 723-3805
CITY:HAYWARDSTATE: CAZIP CODE:
94541
CAPACITY:24CENSUS: DATE:
03/20/2026
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Jackie Amo-MenshTIME COMPLETED:
10:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Neglect/Lack of Supervision-Child sustained an unexplained injury due to staff neglect/lack of supervision
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On March 20, 2026, at 8:00 AM, Licensing Program Analyst (LPA) Elimika Woods conducted an unannounced visit to conclude a complaint investigation regarding the above allegation. LPA met with Director Jackie Amo-Mensah. Present during the inspection were three fingerprint-cleared assistants and 21 preschool-age children.

LPA conducted observations, interviews, and reviewed relevant documentation. Based on the information obtained, LPA was unable to substantiate the allegation that a child sustained an unexplained injury due to staff neglect or lack of supervision. During the course of this investigation, LPA did not observe any deficiencies in supervision practices during visits, nor were there any records or documentation reviewed that supported the allegation of an unexplained injury resulting from staff neglect or lack of supervision.

Based on interviews, documentation reviewed, and observations conducted, the allegation that a child sustained an unexplained injury due to staff neglect or lack of supervision is determined to be UNSUBSTANTIATED, meaning that although the allegation may have occurred or may be valid, there is insufficient evidence to determine whether the alleged violation occurred.

An exit interview was conducted, and appeal rights were discussed with Director Jackie Amo-Mensah.
Unsubstantiated
Estimated Days of Completion: 5
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Elimika Woods
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2026
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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