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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013419489
Report Date: 09/10/2024
Date Signed: 09/10/2024 10:33:26 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 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
07/11/2024 and conducted by Evaluator Michael Mathew
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20240711090846
FACILITY NAME:DAVIS STREET CHILD CARE AT GARFIELD SCHOOLFACILITY NUMBER:
013419489
ADMINISTRATOR:PATTEN, MARYFACILITY TYPE:
850
ADDRESS:13050 AURORA DRIVETELEPHONE:
(510) 567-0322
CITY:SAN LEANDROSTATE: CAZIP CODE:
94577
CAPACITY:24CENSUS: 8DATE:
09/10/2024
UNANNOUNCEDTIME BEGAN:
08:25 AM
MET WITH:Jennifer Ralph TIME COMPLETED:
10:47 AM
ALLEGATION(S):
1
2
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9
Personal Rights-Staff sent daycare child home with feces on his clothing, shoes, hands & water bottle and did not ensure that he was cleaned up.
INVESTIGATION FINDINGS:
1
2
3
4
5
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7
8
9
10
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13
On September 10,2024 at, 8:25 AM Licensing Program Analyst (LPA) Michael Mathew conducted an unannounced inspection to conclude a complaint investigation LPA met with Director Jennifer Ralph and advised her the purpose of the inspection. Director provided LPA a tour of the facility inside and out. There were 8 children and 3 staff in care at the time of the inspection.

Allegation:Staff sent daycare child home with feces on his clothing, shoes, hands & water bottle and did not ensure that he was cleaned up. During the investigation, LPA interviewed Reporting party, staff members, and parents. Based on interviews conducted, there is not a preponderance of evidence to prove the alleged violation did or did not occur, meaning the allegations may have happened or are valid. Therefore, the allegations are deemed UNSUBSTANTIATED.

Report was reviewed and a notice of site visit was given and must remain posted for 30 days. Exit interview was conducted with director Jennifer Ralph
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Michael Mathew
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2024
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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