010209542-12-22-2023-02-CC-MMEA-CZBVEZ-20240109152310

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 010209542
Report Date: 12/22/2023
Date Signed: 12/22/2023 05:38:00 PM

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
12/04/2023 and conducted by Evaluator Indira Loza

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20231204155721

FACILITY NAME:	CENTRO VIDA BILINGUAL CHILDCARE CENTER		FACILITY NUMBER:	010209542
ADMINISTRATOR:	PEDROZA,MARG.&TAMAYO,MARG.		FACILITY TYPE:	850
ADDRESS:	1000 CAMELIA STREET		TELEPHONE:	(510) 525-1463
CITY:	BERKELEY	STATE: CA	ZIP CODE:	94710
CAPACITY:	64	CENSUS: 32	DATE:	12/22/2023
		UNANNOUNCED	TIME BEGAN:	08:58 AM
MET WITH:	Martha Melgoza		TIME COMPLETED:	05:47 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Other - Staff does not get consent from parents to take daycare children on walks.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On December 22, 2023 at 8:58am Licensing Program Analysts (LPAs) Indira Loza and Janai McClain met with Executive Director (ED) Martha Melgoza to conduct the complaint investigation for the above allegation. Present during today's visit were 32 children and 9 staff. LPAs conducted a tour for a health and safety check.

Throughout the investigation, records were reviewed and interviews were conducted which revealed that the children's files did not have the prior authorization on file to take the children out on walks around the neighborhood and parents did not approve of their children going out on field trips. Therefore, based on the interviews and information obtained throughout the investigation, the preponderance of evidence standard has been met. Therefore, the allegation is SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 is being cited on 9099-D page.
Exit interview conducted. Report and Appeal Rights provided to ED Martha Melgoza. Notice of Site Visit must remain posted for 30 days.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:	DATE: 12/22/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2023

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 5

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
12/04/2023 and conducted by Evaluator Indira Loza

COMPLAINT CONTROL NUMBER: 02-CC-20231204155721

FACILITY NAME:	CENTRO VIDA BILINGUAL CHILDCARE CENTER		FACILITY NUMBER:	010209542
ADMINISTRATOR:	PEDROZA,MARG.&TAMAYO,MARG.		FACILITY TYPE:	850
ADDRESS:	1000 CAMELIA STREET		TELEPHONE:	(510) 525-1463
CITY:	BERKELEY	STATE: CA	ZIP CODE:	94710
CAPACITY:	64	CENSUS:	DATE:	12/22/2023
		UNANNOUNCED	TIME BEGAN:	08:58 AM
MET WITH:	Martha Melgoza		TIME COMPLETED:	05:47 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Physical Plant - Facility sink has mold.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On December 22, 2023 at 8:58am Licensing Program Analysts (LPAs) Indira Loza and Janai McClain met with Executive Director (ED) Martha Melgoza to conduct the complaint investigation for the above allegation. Present during today's visit were 32 children and 9 staff. LPAs conducted a tour for a health and safety check.

Throughout the investigation, observations and interviews were conducted, and records were reviewed which revealed that the facility sink did not have mold and appeared clean. 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 ED Martha Melgoza. 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: 12/22/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 2 of 5

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
12/04/2023 and conducted by Evaluator Indira Loza

COMPLAINT CONTROL NUMBER: 02-CC-20231204155721

FACILITY NAME:	CENTRO VIDA BILINGUAL CHILDCARE CENTER		FACILITY NUMBER:	010209542
ADMINISTRATOR:	PEDROZA,MARG.&TAMAYO,MARG.		FACILITY TYPE:	850
ADDRESS:	1000 CAMELIA STREET		TELEPHONE:	(510) 525-1463
CITY:	BERKELEY	STATE: CA	ZIP CODE:	94710
CAPACITY:	64	CENSUS:	DATE:	12/22/2023
		UNANNOUNCED	TIME BEGAN:	08:58 AM
MET WITH:	Martha Melgoza		TIME COMPLETED:	05:47 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Physical Plant - Facility floor(s) are dirty.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On December 22, 2023 at 8:58am Licensing Program Analysts (LPAs) Indira Loza and Janai McClain met with Executive Director (ED) Martha Melgoza to conduct the complaint investigation for the above allegation. Present during today's visit were 32 children and 9 staff. LPAs conducted a tour for a health and safety check.

Throughout the investigation, observations and interviews were conducted, and records were reviewed which revealed that the floors are very old and appear to be dirty but are cleaned regularly. 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 ED Martha Melgoza. 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: 12/22/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2023

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 5

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
12/04/2023 and conducted by Evaluator Indira Loza

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20231204155721

FACILITY NAME:	CENTRO VIDA BILINGUAL CHILDCARE CENTER		FACILITY NUMBER:	010209542
ADMINISTRATOR:	PEDROZA,MARG.&TAMAYO,MARG.		FACILITY TYPE:	850
ADDRESS:	1000 CAMELIA STREET		TELEPHONE:	(510) 525-1463
CITY:	BERKELEY	STATE: CA	ZIP CODE:	94710
CAPACITY:	64	CENSUS:	DATE:	12/22/2023
		UNANNOUNCED	TIME BEGAN:	08:58 AM
MET WITH:	Martha Melgoza		TIME COMPLETED:	05:47 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Physical Plant - Facility bathroom are dirty.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On December 22, 2023 at 8:58am Licensing Program Analysts (LPAs) Indira Loza and Janai McClain met with Executive Director (ED) Martha Melgoza to conduct the complaint investigation for the above allegation. Present during today's visit were 32 children and 9 staff. LPAs conducted a tour for a health and safety check.

Throughout the investigation, observations and interviews were conducted, and records were reviewed which revealed that the facility's bathroom appeared to be clean. 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 ED Martha Melgoza. 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: 12/22/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 4 of 5

Control Number 02-CC-20231204155721

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: CENTRO VIDA BILINGUAL CHILDCARE CENTER	FACILITY NUMBER: 010209542
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/22/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 01/22/2024 Section Cited CCR 10218(a)(5)	1 2 3 4 5 6 7	Admission Policies - (a) Every child care center shall have all admission policies in writing and available to the public. The policies shall coincide with the limitations stated on the license, and shall include, but not be limited to, the following: (5) Field-trip provisions, if any. This	1 2 3 4 5 6 7	The Director shall email the LPA a copy of a signed permission slip of all enrolled children, no later than January 22, 2023.
	8 9 10 11 12 13 14	requirement was not met as evidenced by:Based on interviews and records reviews it was determined that the facility did not maintain signed permission for field trips in the children's files, which is a potential risk to the health, safety, or personal right of children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:	DATE: 12/22/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2023

LIC9099 (FAS) - (06/04)

Page: 5 of 5