010212832-9-22-2023-52-CC-CCHS-CWGT5X-20231010142616

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 010212832
Report Date: 09/22/2023
Date Signed: 09/22/2023 01:05:17 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 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
08/23/2023 and conducted by Evaluator Christina Uribe

PUBLIC

COMPLAINT CONTROL NUMBER: 52-CC-20230823090732

FACILITY NAME:	KIDS CARE PLUS - STANTON		FACILITY NUMBER:	010212832
ADMINISTRATOR:	LUDKE, DENISE		FACILITY TYPE:	840
ADDRESS:	2644 SOMERSET AVE. + PORTABLE.		TELEPHONE:	(510) 733-0775
CITY:	CASTRO VALLEY	STATE: CA	ZIP CODE:	94546
CAPACITY:	85	CENSUS: 32	DATE:	09/22/2023
		UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Annaleza Roque		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Child sustained unexplained injury while in care

INVESTIGATION FINDINGS:

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On 09/22/2023 at 12:15pm, Licensing Program Analyst (LPA) Christina Uribe conducted an unannounced visit for the purpose of investigating a complaint regarding the above allegation of a personal rights violation and met with Director, Annaleza Roque. Also present at the time of today’s inspection are 3 staff and 32 children.

This agency has investigated the complaint alleging that a child sustained an unexplained injury while in care. LPA Uribe conducted interviews and observations which have been documented and reviewed. 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.

Report was reviewed and a notice of site visit was given and must remain posted for 30 days. Exit interview was conducted with director, Annaleza Roque.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Christina Uribe
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2023

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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