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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013417784
Report Date: 03/21/2025
Date Signed: 03/21/2025 11:32:52 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
02/12/2025 and conducted by Evaluator Diana Campos
COMPLAINT CONTROL NUMBER: 02-CC-20250212134150
FACILITY NAME:EAST BAY ACADEMY, INC.FACILITY NUMBER:
013417784
ADMINISTRATOR:MARGARIDA WONGFACILITY TYPE:
850
ADDRESS:1011 7TH AVENUETELEPHONE:
(510) 267-0788
CITY:OAKLANDSTATE: CAZIP CODE:
94606
CAPACITY:113CENSUS: 18DATE:
03/21/2025
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Cui Cui MaTIME COMPLETED:
11:45 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff did not report an unusual incident
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
LPAs D. Santiago and D. Campos met with Teacher Cui Cui Ma for a subsequent complaint investigation regarding the above allegation. Acting Director Jennifer Wong arrived during the inspection. Present were 3 staff and 18 preschool children in care. During the course of the investigation, interviews were conducted and files and records reviewed. Reporting requirements regulations were discussed. Due to conflicting statements reported to the LPAs, there was not enough evidence to determine whether or not an unusual incident occurred that required reporting to the licensing office. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur. Therefore, the allegation is unsubstantiated at this time.

Notice of Site Visit provided must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025
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 2
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
02/12/2025 and conducted by Evaluator Diana Campos
COMPLAINT CONTROL NUMBER: 02-CC-20250212134150

FACILITY NAME:EAST BAY ACADEMY, INC.FACILITY NUMBER:
013417784
ADMINISTRATOR:MARGARIDA WONGFACILITY TYPE:
850
ADDRESS:1011 7TH AVENUETELEPHONE:
(510) 267-0788
CITY:OAKLANDSTATE: CAZIP CODE:
94606
CAPACITY:113CENSUS: 18DATE:
03/21/2025
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Cui Cui MaTIME COMPLETED:
11:45 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facaility staff did not notify parents about positive RSV and Influenza cases.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
LPAs D. Santiago and D. Campos met with Teacher Cui Cui Ma for a subsequent complaint investigation regarding the above allegation. Director Jennifer Wong arrived during the inspection. Present were 3 staff and 18 preschool children in care. During the course of the investigation, interviews were conducted and files and records reviewed. Reporting requirements regulations were discussed. Interviews disclosed conflicting information. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur. Therefore, the allegation is deemed unsubstantiated at this time.

Notice of Site Visit provided must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025
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 2