<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013410074
Report Date: 05/19/2023
Date Signed: 05/19/2023 03:46:26 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
04/11/2023 and conducted by Evaluator Indira Loza
COMPLAINT CONTROL NUMBER: 02-CC-20230411121158
FACILITY NAME:ECOLE BILINGUE DE BERKELEY PRESCHOOLFACILITY NUMBER:
013410074
ADMINISTRATOR:MIRZA KOPELMANFACILITY TYPE:
850
ADDRESS:2830 TENTH ST.TELEPHONE:
(510) 549-3867
CITY:BERKELEYSTATE: CAZIP CODE:
94710
CAPACITY:100CENSUS: 80DATE:
05/19/2023
ANNOUNCEDTIME BEGAN:
09:41 AM
MET WITH:Chauncey BurnettTIME COMPLETED:
09:42 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights - Day care child assaulted by another child due to lack of supervision
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On May 19, 2023 at 9:41 am, Licensing Program Analyst (LPA) Indira Loza and Licensing Program Manager (LPM) Mayla Mendoza conducted an unannounced visit to investigate the above allegation. LPA and LPM toured the facility for a health and safety check. Present in care were 80 children and 12 fingerprint cleared staff.

During the visit LPA and LPM conducted children interviews, staff interviews and toured the facility. During the course of the investigation, record review and interviews were conducted. Despite getting injured by another child, interviews indicated that it was not due to a lack of supervision. Although the allegation may have happened or be 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 with Chauncey Burnett.
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2023
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 3