010215033-2-23-2024-02-CC-LDYN-D466Z8-20240408211439

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 010215033
Report Date: 02/23/2024
Date Signed: 02/23/2024 01:34:02 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 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
01/24/2024 and conducted by Evaluator Tasha Hackett-Alexander

COMPLAINT CONTROL NUMBER: 02-CC-20240124171831

FACILITY NAME:	OAKLAND HEAD START - MANZANITA		FACILITY NUMBER:	010215033
ADMINISTRATOR:	TERRY CHEN		FACILITY TYPE:	850
ADDRESS:	2701 - 22ND AVENUE		TELEPHONE:	(510) 535-5627
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94606
CAPACITY:	20	CENSUS: 12	DATE:	02/23/2024
		UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	TERRY CHEN		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff did not meet the needs of child in care

INVESTIGATION FINDINGS:

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

On February 23, 2024 Licensing Program Analyst (LPA) Tasha Alexander met with Center director Terry Chen to deliver the findings to the above complaint allegantion.

Upon arrival, there are 12 preschool age children present along with 3 teachers. During this analyst's last visit, an interview was conducted the center director and relevant documents were received. Today interviews were conducted with additional staff.

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, therefore the allegation is unsubstantiated.

An exit interview was conducted. A notice of site visit was posted.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:	DATE: 02/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2024

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 1