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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 010216108
Report Date: 05/21/2025
Date Signed: 05/21/2025 01:29:19 PM

Substantiated


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
05/05/2025 and conducted by Evaluator Mario Caro
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20250505092209
FACILITY NAME:OAKLAND HEAD START - TASSAFARONGAFACILITY NUMBER:
010216108
ADMINISTRATOR:LISA ROSSFACILITY TYPE:
850
ADDRESS:975- 85TH AVENUETELEPHONE:
(510) 639-0580
CITY:OAKLANDSTATE: CAZIP CODE:
94621
CAPACITY:25CENSUS: 14DATE:
05/21/2025
UNANNOUNCEDTIME BEGAN:
11:55 AM
MET WITH:Ruff,SandraTIME COMPLETED:
01:43 PM
ALLEGATION(S):
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Facility failed to provide a safe environment for a child.
INVESTIGATION FINDINGS:
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On 05/21/25 at 11:36 am, Licensing Program Analyst (LPA) Mario Caro conducted a Unannounced Complaint Investigation and delivered findings. LPA met with Licensee Director Sandra Ruff, and explained the purpose of today's inspection. Present during the visit were 14 pre school aged children and 3 additional staff. During the course of the investigation LPA toured the facility, obtained copies of relevant documents and conducted interviews with staff, children, and parents

An allegation was made that the Facility failed to provide a safe environment for a child. Interviews and observation indicated there have been multiple incidents of hitting occurring. 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 Regulation , Title 22, 101223(a)(2) Division 12 is being cited on 9099-D page. See LIC9099-D for one Type B citation.
Exit interview was conducted with Director Sandra Ruff. Appeal rights and report were provided.
A NOTICE OF SITE VISIT WAS ISSUED, AND MUST BE POSTED FOR 30 CONSECUTIVE DAYS.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Mario Caro
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2025
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
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
05/05/2025 and conducted by Evaluator Mario Caro
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20250505092209

FACILITY NAME:OAKLAND HEAD START - TASSAFARONGAFACILITY NUMBER:
010216108
ADMINISTRATOR:LISA ROSSFACILITY TYPE:
850
ADDRESS:975- 85TH AVENUETELEPHONE:
(510) 639-0580
CITY:OAKLANDSTATE: CAZIP CODE:
94621
CAPACITY:17CENSUS: 14DATE:
05/21/2025
UNANNOUNCEDTIME BEGAN:
11:55 AM
MET WITH:Ruff, SandraTIME COMPLETED:
01:43 PM
ALLEGATION(S):
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2
3
4
5
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7
8
9
Facility did not report incident to parents.
INVESTIGATION FINDINGS:
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On 05/21/25 at 1:36 am Licensing Program Analyst (LPA) Mario Caro conducted an Unannounced Complaint Investigation and met with Director Sandra Ruff. During the visit there were 14 Preschool aged children in care and 3 additional staff. During today's visit LPA observed the facility, interviewed children, and Delivered findings.

An allegation was made that the facility did not report a hitting incident to parents. Interviews indicated conflicting information therefore 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. Exit interview conducted with Director Sandra Ruff.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 CONSECUTIVE DAYS
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Mario Caro
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2025
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 4
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
05/05/2025 and conducted by Evaluator Mario Caro
COMPLAINT CONTROL NUMBER: 02-CC-20250505092209

FACILITY NAME:OAKLAND HEAD START - TASSAFARONGAFACILITY NUMBER:
010216108
ADMINISTRATOR:LISA ROSSFACILITY TYPE:
850
ADDRESS:975- 85TH AVENUETELEPHONE:
(510) 639-0580
CITY:OAKLANDSTATE: CAZIP CODE:
94621
CAPACITY:17CENSUS: 14DATE:
05/21/2025
UNANNOUNCEDTIME BEGAN:
11:55 AM
MET WITH:Ruff, SandraTIME COMPLETED:
01:43 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility did not submit report incident to licensing
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 05/21/25 at 1:36 am Licensing Program Analyst (LPA) Mario Caro conducted an Unannounced Complaint Investigation and met with Director Sandra Ruff. During the visit there were 14 Preschool aged children in care and 3 additional staff. During today's visit LPA observed the facility, interviewed children, and Delivered findings.

An allegation was made that the Facility did not submit report incident to licensing. Interviews indicated conflicting information therefore 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. Exit interview conducted with Director Sandra Ruff.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 CONSECUTIVE DAYS
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Mario Caro
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2025
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 4
Control Number 02-CC-20250505092209
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: OAKLAND HEAD START - TASSAFARONGA
FACILITY NUMBER: 010216108
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/21/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/04/2025
Section Cited
CCR
101223(a)(2)
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(a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by:
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The Director will have a conference with the parents of both children and develop a written plan of action to prevent Future hitting incidents. The director will subit a schedule showing parent conferences were held and the written plan of action to ccld by poc date 06/04/25.
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Based on Observations and interviews, it has been determined there have been mulitple occurences of a child at the facility hitting other children which poses a potential risk to the health, safety, and personal rights of children in care.
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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: Mario Caro
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4