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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013412888
Report Date: 03/19/2025
Date Signed: 03/19/2025 03:30:07 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
02/13/2025 and conducted by Evaluator Catherine Fernandes
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20250213103831
FACILITY NAME:WOOTEN, TERYRAFACILITY NUMBER:
013412888
ADMINISTRATOR:WOOTEN, TERYRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 472-3396
CITY:OAKLANDSTATE: CAZIP CODE:
94621
CAPACITY:14CENSUS: 6DATE:
03/19/2025
UNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Teryra WootenTIME COMPLETED:
03:35 PM
ALLEGATION(S):
1
2
3
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5
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8
9
Licensee is over capacity
INVESTIGATION FINDINGS:
1
2
3
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5
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8
9
10
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12
13
On March 19, 2025, at 3:15pm, Licensing Program Analysts (LPAs) Catherine Fernandes and Indira Loza arrived unannounced on a complaint investigation and met with Licensee Teryra Wooten. Present in care were two infants, and four school age children. During the investigation LPAs did a walk through of the home, reviewed documents, and conducted interviews.

On 2/20/25 and 3/19/25, LPAs observed the licensee to be in ratio, however based on attendance time sheets and a schedule provided by the licensee the allegation was determined to be unsubstantiated due to conflicting information. 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.

Exit interview conducted with Licensee
Report and Notice a site visit provided
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025
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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