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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073409819
Report Date: 08/04/2026
Date Signed: 08/04/2026 05:02:19 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 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
06/10/2026 and conducted by Evaluator Tasha Hackett-Alexander
COMPLAINT CONTROL NUMBER: 02-CC-20260610162518
FACILITY NAME:PEREIRA, CAMILA CECILIAFACILITY NUMBER:
073409819
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:6CENSUS: 4DATE:
08/04/2026
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:CAMILA CECILIA PEREIRATIME COMPLETED:
03:30 PM
ALLEGATION(S):
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PERSONAL RIGHTS- Licensee did not prevent another adult in the home from yelling in the presence of day care children
INVESTIGATION FINDINGS:
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On August 4, 2026 Licensing Program Analysts (LPAs) Tasha Alexander and Nicole Reynoso conducted a subsequent inspection at the licensee's family chlld care home to deliver the findings to the above complaint allegation. LPAs met licensee Camila Pereira, explained the purpose of the visit and were granted entry into the home.

Upon entry, LPAs observed the licensee Camila Pereira and four (4) infants present in the home. One of the children present is the licensee's own child. During LPAs last visit, the home was inspected, interviews were conducted, records were reviewed and relevant document were received. Further investigation revealed that during hours of operation on 5/1/26, two adults engaged in a verbal altercation over a written contract, while at the front door of the family child care home, in the presence of the day care children. This poses a potential health and safety risk.

Based on LPAs interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 3, are being cited on the attached LIC. 9099D.

An exit interview was conducted with licensee Camila Cecilia Pereira
A notice of site visit was given an must remain posted for 30 consecutive days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2026
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 2
Control Number 02-CC-20260610162518
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: PEREIRA, CAMILA CECILIA
FACILITY NUMBER: 073409819
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/04/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
08/11/2026
Section Cited
CCR
102423(a)(4)
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102423 Personal Rights
(a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following:

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Licensee will not allow verbal altercations to take place in the presence of children in care. Licensee will submit a written plan of action to de-escalate future heated converasations between adults in the presence of day care children by 8/11/26.
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(4) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning.
THIS REQUIREMENT WAS NOT MET AS EVIDENCED BY INTERVIEWS AND RECORD REVIEWS WHICH REVEALED TWO ADULT ENGAGED IN A VERBAL ALTERCATION IN THE PRESENCE OF DAY CARE CHILDREN. This poses a potential health & safety risk to children in care
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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.
SUPERVISOR'S NAME: Monica Mathur
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2