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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 015701144
Report Date: 07/02/2025
Date Signed: 07/02/2025 01:21:28 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 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
02/18/2025 and conducted by Evaluator Jaleesa Jackson
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20250218110046
FACILITY NAME:LI, RUIJIEFACILITY NUMBER:
015701144
ADMINISTRATOR:RUIJIE LIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 378-1535
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY:14CENSUS: 12DATE:
07/02/2025
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Ruijie LiTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Infant sustained an unexplained fracture while in care
INVESTIGATION FINDINGS:
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On 07/02/2025 at 9:45AM Licensing Program Analysts (LPAs) Jaleesa Jackson and Jialing (Julianne) Zhu met with Licensee Ruijie “Annie” Li, to deliver the findings of a complaint investigation regarding the above allegation. The investigation was conducted by Investigator, Victoria McIntosh of the Investigations Branch. Present during the inspection was the Licensee, her 2 fingerprint cleared assistants, 8 preschool aged children, and 4 infants.

During the investigation, interviews and record reviews were conducted. Based on statements made and records received, C1 sustained an unexplained leg fracture while in care at the family child care home. While there was no direct visual of how the injury occurred it was determined that it happened under the Licensee’s care.

Continued on 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2025
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 52-CC-20250218110046
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: LI, RUIJIE
FACILITY NUMBER: 015701144
VISIT DATE: 07/02/2025
NARRATIVE
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Based on the interviews conducted and records review, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be SUBSTANTIATED.

See 9099-D for deficiency being cited today.

LPA Jackson informed Licensee Ruijie Li that this report dated 07/02/2025, documenting one Type A deficiency, shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

LPA Jackson informed the licensee to provide a copy of this licensing report, dated 07/02/2025 that documents a Type A deficiency, 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.

An Enhanced Civil Penalty (ECP), in the amount of $2000, is being assessed due to the serious bodily injury sustained by a child in care at the family child care home.

A notice of site visit was given and must remain posted for 30 days.

Appeal rights were provided to the Licensee.

Exit interview conducted with the Licensee, Ruijie Li.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 52-CC-20250218110046
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: LI, RUIJIE
FACILITY NUMBER: 015701144
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/02/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/03/2025
Section Cited
CCR
102423(a)(2)
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102423(a)(2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

This requirement is not met as evidenced by:
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Licencees will watch both the "Supervising Children in Family Child Care" and "Children’s Personal Rights in Child Care' on https://ccld.childcarevideos.org/. After watching both Licensee will submit a signed statement of understanding for both videos to LPA by email by POC date.
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Based on interviews and record review, the Licensee did not comply with the section cited above when C1 sustained a fractured leg while in Licensee’s care and Licensee was not aware of when or where the fracture happened. This posed an immediate health, safety or personal rights risk to persons in care.
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Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
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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: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2025
LIC9099 (FAS) - (06/04)
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