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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 015700654
Report Date: 06/27/2025
Date Signed: 06/27/2025 11:59:41 AM

Substantiated


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
05/15/2025 and conducted by Evaluator Christina Uribe
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20250515083327
FACILITY NAME:OLIVE CHILDREN AT ST. JAMES CATHOLIC CHURCHFACILITY NUMBER:
015700654
ADMINISTRATOR:HARRIS, CARMINAFACILITY TYPE:
860
ADDRESS:34700 FREMONT BOULEVARDTELEPHONE:
(510) 770-4999
CITY:FREMONTSTATE: CAZIP CODE:
94555
CAPACITY:88CENSUS: 26DATE:
06/27/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Viradel PorciunculaTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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There are cockroaches, ants, spiders, and rat droppings in the facility
INVESTIGATION FINDINGS:
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On 06/272025 at 10:30am, Licensing Program Analyst (LPA) Christina Uribe conducted an unannounced visit for the purpose of investigating a complaint regarding the above allegation of a physical plant violation and met with assistant director, Viradel Porciuncula. Also present at the time of today’s inspection were 3 staff and 26 children.

LPA Uribe conducted interviews, obtained relevant documents, and made observations in the facility. Based on evidence received which was reviewed, the preponderance of evidence standard has been met, therefore the above allegation that there are cockroaches, ants, spiders, and rat droppings in the facility is SUBSTANTIATED.California Code of Regulations, Title 22, Division 12, Chapter 1, Article 06, Section 101238(a)(1) - Building & Grounds is being cited on the attached LIC 9099D.

Report was reviewed and a notice of site visit was given and must remain posted for 30 days. Appeal rights were given. Exit interview was conducted with assistant director, Viradel Porciuncula.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Christina Uribe
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2025
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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Control Number 52-CC-20250515083327
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: OLIVE CHILDREN AT ST. JAMES CATHOLIC CHURCH
FACILITY NUMBER: 015700654
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/18/2025
Section Cited
CCR
101238(a)(1)
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101238(a) The child care center shall be clean, safe, sanitary, and in good repair at all times to ensure the safety and well-being of children, employees, and visitors. (1) The licensee shall take measures tp keep the center free of flies, other insects, and rodents.
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The facility staff will ensure that all furniture, equipment, and physical space, including those used for storage, within the classrooms are kept clean and free of pests and rodent droppings. Facility staff will also create a written plan of action for maintaining the cleanliness of the facility from pests and
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This requirement was not met as evidenced by: LPA Uribe observed rodent droppings and deceased insects inside of storage tubs inside of the classroom. Additionally, evidence was obtained that the facility has an intermittent issue with keeping the facility free of pests.
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rodents, and a plan of action to ensure that preventative measures are regularly taken to keep the facility free of pests and rodents. Director will email these written plan of actions to LPA Uribe at christina.uribe@dss.ca.gov no later than the due date of 07/18/2025.
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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: Chandra Charles
LICENSING EVALUATOR NAME: Christina Uribe
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2025
LIC9099 (FAS) - (06/04)
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