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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013420689
Report Date: 07/24/2023
Date Signed: 07/24/2023 08:16:32 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
07/11/2023 and conducted by Evaluator Sidney Cortez
COMPLAINT CONTROL NUMBER: 52-CC-20230711132138
FACILITY NAME:OCAMPO, LETICIAFACILITY NUMBER:
013420689
ADMINISTRATOR:OCAMPO, LETICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 355-4539
CITY:SAN LEANDROSTATE: CAZIP CODE:
94577
CAPACITY:14CENSUS: 5DATE:
07/24/2023
UNANNOUNCEDTIME BEGAN:
07:41 AM
MET WITH:Leticia OcampoTIME COMPLETED:
08:51 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights

INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On July 24th 2023 Licensing Program Analyst (LPA) Sidney Cortez met with Licensee Leticia Ocampo to deliver the findings on the Complaint Investigation. Present on this visit were 5 Children ( 5 pre school age children ) and her 2 fingerprint cleared assistants: Morelia Lima, and Natalia LIma. Facility operates from Monday to Friday 7:30 am to 5:30 pm.

LPA Cortez obtained copies of the facility's Children Roster, and Staff Roster. Based on the interviews conducted, file review,and observations the allegation regarding Personal Rights Violation may have happened or is valid, but there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

An Exit interview was conducted with the Licensee. A Notice of site visit was given and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Sidney Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2023
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 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
07/11/2023 and conducted by Evaluator Sidney Cortez
COMPLAINT CONTROL NUMBER: 52-CC-20230711132138

FACILITY NAME:OCAMPO, LETICIAFACILITY NUMBER:
013420689
ADMINISTRATOR:OCAMPO, LETICIAFACILITY TYPE:
810
ADDRESS:1397 CASTRO STREETTELEPHONE:
(510) 355-4539
CITY:SAN LEANDROSTATE: CAZIP CODE:
94577
CAPACITY:14CENSUS: 5DATE:
07/24/2023
UNANNOUNCEDTIME BEGAN:
07:41 AM
MET WITH:Leticia OcampoTIME COMPLETED:
08:51 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On July 24th 2023 Licensing Program Analyst (LPA) Sidney Cortez met with Licensee Leticia Ocampo to deliver the findings on the Complaint Investigation. Present on this visit were 5 Children ( 5 pre school age children ) and her 2 fingerprint cleared assistants: Morelia Lima, and Natalia LIma. Facility operates from Monday to Friday 7:30 am to 5:30 pm.

LPA Cortez obtained copies of the facility's Children Roster, and Staff Roster. Based on the interviews conducted, file review,and observations the allegation regarding Personal Rights Violation may have happened or is valid, but there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

An Exit interview was conducted with the Licensee. A Notice of site visit was given and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Sidney Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2023
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