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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013420903
Report Date: 11/18/2025
Date Signed: 11/18/2025 02:34:25 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 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
10/07/2025 and conducted by Evaluator Diana Campos
COMPLAINT CONTROL NUMBER: 52-CC-20251007100848

FACILITY NAME:EXTENDED DAY CHILD CARE - EDCC - KOLB ELEMENTARYFACILITY NUMBER:
013420903
ADMINISTRATOR:TAMARA BRELLANDFACILITY TYPE:
840
ADDRESS:3150 PALERMO WAYTELEPHONE:
(925) 828-2666
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY:120CENSUS: 27DATE:
11/18/2025
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Tamara BrellandTIME COMPLETED:
02:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff failed to report incidents to parent
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
LPA D. Campos met with Director Tamara Brelland for a complaint investigation regarding the above allegation. Present were 27 children and 10 staff. It was alleged that staff failed to report incidents to parent. During the course of the investigation, interviews were conducted and files reviewed. During the investigation, reporting requirements were discussed. Based on the investigative findings, there was no evidence to determine whether or not staff failed to report incidents to parent. 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: Wynn Norona
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2025
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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