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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013419486
Report Date: 10/19/2022
Date Signed: 10/19/2022 09:36:45 AM

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 STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/31/2022 and conducted by Evaluator Elimika Woods
COMPLAINT CONTROL NUMBER: 52-CC-20220831161509
FACILITY NAME:KIDANGO - AMADORFACILITY NUMBER:
013419486
ADMINISTRATOR:JACKSON, AMORRISFACILITY TYPE:
850
ADDRESS:24100 AMADOR STREETTELEPHONE:
(510) 259-2929
CITY:HAYWARDSTATE: CAZIP CODE:
94544
CAPACITY:75CENSUS: 21DATE:
10/19/2022
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:April Van ZeeTIME COMPLETED:
09:45 AM
ALLEGATION(S):
1
2
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7
8
9
Personal Rights-Staff demonstrated an inappropriate form of punishment towards a daycare child
Personal Rights-Staff hit a day-care child while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
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13
On October 19, 2022 at 8:45 AM., LPA Elimika Woods met with the facility representative, April Van Zee to deliver the finding for the above allegations. Present for the visit were twenty-one (21) preschool age children and eight (8) additional staff members. It was alleged a child's personal rights were being violated by staff which included an inappropriate form of punishment towards a daycare child and a staff member hitting a daycare child while in care. During the course of the investigation, interviews were conducted. This agency has investigated the complaint alleging the above allegation.

Based on the investigative findings, it cannot be proven or disproven that staff used an inappropriate form of punishment or hit a child while in care. 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 at this time.

A SITE VISIT NOTICE WAS POSTED BY THE FACILITY REPRESENTATIVE.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Elimika Woods
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2022
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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