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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073403146
Report Date: 11/01/2023
Date Signed: 11/01/2023 03:35:23 PM

Unsubstantiated


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
08/25/2023 and conducted by Evaluator Indira Loza
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20230825141649
FACILITY NAME:LA PETITE ACADEMYFACILITY NUMBER:
073403146
ADMINISTRATOR:DAVIS, GRETAFACILITY TYPE:
830
ADDRESS:3891 LAKESIDE DRIVETELEPHONE:
(510) 222-3070
CITY:RICHMONDSTATE: CAZIP CODE:
94806
CAPACITY:24CENSUS: DATE:
11/01/2023
UNANNOUNCEDTIME BEGAN:
12:26 PM
MET WITH:Greta DavisTIME COMPLETED:
03:41 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Other - retaliation against reporting party
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On November 1, 2023 at 12:26pm Licensing Program Analyst (LPA) Indira Loza met with Director Greta Davis for the purpose of investigating a complaint. Present during today's inspection were 12 infants and 4 staff.

During the course of the investigation, LPA conducted record reviews and interviews. The allegation states that the RP was retaliated against after bringing up issues at the facility and a child was kept on the waitlist for two years as a means of retaliation. The RP is alleging a child was on the waiting list for 2 years, while the Director stated that they were on the waiting list for 9 months, the actual date of the waitlist placement cannot be determined concluding the allegation as Unsubstantiated. 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.
Exit interview conducted. Report and Appeal Rights provided to Director Greta Davis. Notice of Site Visit must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2023
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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