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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013411778
Report Date: 07/21/2025
Date Signed: 07/21/2025 09:43:04 AM

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
04/24/2025 and conducted by Evaluator Dana Santiago
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20250424182512
FACILITY NAME:HANCOCK, DORIS Y.FACILITY NUMBER:
013411778
ADMINISTRATOR:DORIS Y. HANCOCKFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 654-9077
CITY:OAKLANDSTATE: CAZIP CODE:
94609
CAPACITY:12CENSUS: 3DATE:
07/21/2025
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Doris HancockTIME COMPLETED:
09:55 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee hit child.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 07/21/25 at 8:45am Licensing Program Analyst (LPA) Dana Santiago conducted a Continued Unannounced Complaint Investigation and met with licensee Doris Hancock to deliver findings. During the visit there were 3 school aged children in care and assistant Hailah Hancock-Ardren. During today's visit LPA observed the facility, and Delivered findings.

An allegation was made that licensee hit child. Interviews and observation 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 licensee Doris Hancock.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 CONSECUTIVE DAYS
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Dana Santiago
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2025
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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