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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013420528
Report Date: 01/29/2025
Date Signed: 01/29/2025 01:45:09 PM

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
01/16/2025 and conducted by Evaluator Arminder Singh
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20250116105113
FACILITY NAME:DR. HERBERT GUICE CHRISTIAN ACADEMYFACILITY NUMBER:
013420528
ADMINISTRATOR:ANGELA DARBYFACILITY TYPE:
850
ADDRESS:6925 INTERNATIONAL BLVDTELEPHONE:
(510) 729-0330
CITY:OAKLANDSTATE: CAZIP CODE:
94621
CAPACITY:57CENSUS: 13DATE:
01/29/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Sytara EllisTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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9
staff handled children in a rough manner
INVESTIGATION FINDINGS:
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2
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9
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13
On 01/29/2025 Licensing Program Analyst (LPA) Arminder Singh arrived at facility to deliver findings for the above allegation. LPA met with Board Member. Sytara Ellis and explained the purpose of today's visit. It was alleged staff handled children in a rough manner.

LPA conducted interviews with Director, staff, children, and parents. LPA also obtained sign in/sign out sheets of children as well as staff sign in/sign out sheets of staff.

Based on the investigative finginds although the allegation may have happened or be 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.

The facillity was provided a copy of the appeal rights. An exit interview was conducted with Director and Board of Director, Sytara Ellis and a copy of the complaint investigation report was provided and Notice of Site was issued.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Arminder Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2025
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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