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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434412281
Report Date: 04/28/2022
Date Signed: 04/28/2022 01:05:13 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 STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/23/2022 and conducted by Evaluator Christina Uribe
COMPLAINT CONTROL NUMBER: 52-CC-20220323100747
FACILITY NAME:ZHENG, VERA & XU, BAIRONGFACILITY NUMBER:
434412281
ADMINISTRATOR:ZHENG, VERA & XU, BAIRONGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 823-3396
CITY:MOUNTAIN VIEWSTATE: CAZIP CODE:
94043
CAPACITY:14CENSUS: 10DATE:
04/28/2022
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Vera ZhengTIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
2
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9
Provider did not adequately supervise daycare child resulting in injury.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 04/28/22 at 12:30pm, Licensing Program Analyst (LPA) Christina Uribe conducted an unannounced visit for the purpose of investigating a complaint for the lack of supervision allegation and met with licensee, Vera “Eva” Zheng. Also present during today’s visit is co-licensee Bairong “Vivi” Xu and 10 children.

This agency has investigated the complaint allegation that the provider did not adequately supervise daycare child resulting in injury. LPA Uribe conducted and recorded interviews with the licensee and the reporting party. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

A note of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the licensee, Vera “Eva” Zheng.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Christina Uribe
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2022
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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