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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 010206027
Report Date: 12/14/2023
Date Signed: 12/14/2023 03:32:22 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
11/21/2023 and conducted by Evaluator Monica Mathur
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20231121091300
FACILITY NAME:ST. VINCENT'S DAY HOMEFACILITY NUMBER:
010206027
ADMINISTRATOR:YOUNGBLOOD, JENNIFERFACILITY TYPE:
850
ADDRESS:1086 8TH STREETTELEPHONE:
(510) 832-8324
CITY:OAKLANDSTATE: CAZIP CODE:
94607
CAPACITY:261CENSUS: 118DATE:
12/14/2023
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Alexandra HilaroTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Personal rights - Poop in child's clothing and not wearing underwear when picked up
INVESTIGATION FINDINGS:
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On 12/14/23 Licensing Program Analysts (LPAs) Monica Mathur and Brindha Govindasamy conducted an unannounced Subsequent Complaint Investigation at St Vincent Day Home. LPAs met with Executive Director, Alexandra Hilario and explained the purpose of today’s inspection. Complainant alleges that on multiple occasions child C1 was sent home in unclean clothing with feaces/stains or without wearing underwear. During course of investigation LPAs conducted facility inspection, observations, record review, interviews and obtained documents.

It was determined that center policy/parent handbook states if child is fully trained, expectation is child to clean/wipe themselves. If child has an accident or seeks help, staff will assist. Staff stated they check each child several times during the day and C1 is fully potty trained. There was one occasion where C1 did not have extra underwear at the center. Staff was unaware of extra clothes in child's bag and C1 went home in clean trousers but without underwear.
continued on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE:

DATE: 12/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2023
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 4
Control Number 02-CC-20231121091300
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: ST. VINCENT'S DAY HOME
FACILITY NUMBER: 010206027
VISIT DATE: 12/14/2023
NARRATIVE
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continued from 9099

At this time, there is insufficient evidence and information to determine if child went home in unclean soiled clothing or not. Based on the interviews and information obtained throughout the investigation, the allegation is UNSUBSTANTIATED which means 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. No Deficiency has been cited for this allegation.

Technical Violation/Advisory Note is issued for Personal Rights as a result of sending child home without underwear on one occasion. Exit interview conducted with Executive Director, Alexandra Hilario. A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 DAYS.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE:

DATE: 12/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 4