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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 010200370
Report Date: 09/27/2023
Date Signed: 09/27/2023 11:40:39 AM

Substantiated


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
08/16/2023 and conducted by Evaluator Ashley Curry
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20230816110706
FACILITY NAME:LAKESHORE CHILDREN'S CENTERFACILITY NUMBER:
010200370
ADMINISTRATOR:THOMPSON, RAE RITA FFACILITY TYPE:
850
ADDRESS:3518-3546 LAKESHORE AVENUETELEPHONE:
(510) 893-4048
CITY:OAKLANDSTATE: CAZIP CODE:
94610
CAPACITY:49CENSUS: 7DATE:
09/27/2023
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Teresita Arciaga/ Elmo Rey Arciaga TIME COMPLETED:
12:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Director is not qualified
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 09/27/2023 at 9:15AM Licensing Program Analyst (LPA), A. Curry arrived at the facility to conduct an unannounced subsequent complaint inspection. LPA met with the Acting Director, Teresita Arciaga, to explain the purpose of today's visit. The director, Elmo Rey Arciaga, arrived shortly after. The LPA toured the facility, made observations, and conducted interviews with children. The complaint allegation is Director is not qualified. During an annual inspection on 06/21/2023, the facility was cited for not having a qualified director and since then the facility has come back into compliance. Although the above allegation is SUBSTANTIATED, the facility will not be recited. No deficiencies are being cited today.

Exit interview conducted, appeal rights were given, and report was reviewed with Elmo Rey Arciaga.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2023
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
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
08/16/2023 and conducted by Evaluator Ashley Curry
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20230816110706

FACILITY NAME:LAKESHORE CHILDREN'S CENTERFACILITY NUMBER:
010200370
ADMINISTRATOR:THOMPSON, RAE RITA FFACILITY TYPE:
850
ADDRESS:3518-3546 LAKESHORE AVENUETELEPHONE:
(510) 893-4048
CITY:OAKLANDSTATE: CAZIP CODE:
94610
CAPACITY:49CENSUS: 7DATE:
09/27/2023
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Teresita Arciaga/ Elmo Rey Arciaga TIME COMPLETED:
12:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are yelling at children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 09/27/2023 at 9:15AM Licensing Program Analyst (LPA), A. Curry arrived at the facility to conduct an unannounced subsequent complaint inspection. LPA met with the Acting Director, Teresita Arciaga, to explain the purpose of today's visit. The director, Elmo Rey Arciaga, arrived shortly after. The LPA toured the facility, made observations, and conducted interviews with children. Based on the interviews with children, it was disclosed that the teacher does use a loud voice at times, but the teacher's loud voice is not used as a form of punishment or intimidation. The interviews revealed the children are not affected by the teacher's loud voice. No deficiencies are being cited today.


Exit interview conducted, appeal rights were given, and report was reviewed with Elmo Rey Arciaga.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3