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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013421993
Report Date: 03/20/2024
Date Signed: 03/20/2024 12:52:01 PM

Substantiated


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, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/15/2024 and conducted by Evaluator Catherine Fernandes
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20240315171710
FACILITY NAME:BABY ACADEMY, THEFACILITY NUMBER:
013421993
ADMINISTRATOR:PORSHIA LEWISFACILITY TYPE:
850
ADDRESS:1015 CAMPBELL STTELEPHONE:
(510) 305-4877
CITY:OAKLANDSTATE: CAZIP CODE:
94607
CAPACITY:13CENSUS: 9DATE:
03/20/2024
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Lakesha Aarif (Danyelle)TIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Licensee failed to follow reporting requirements.
INVESTIGATION FINDINGS:
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On 3/20/24, at 8:30AM, Licensing Program Analyst (LPA) Catherine Fernandes arrived unannounced on a complaint investigation and met with Director Danyelle Aarif. Present in care were nine preschoolers and an additional six staff members. During the investigation LPA Fernandes did a walk through of the center, obtained a children’s roster and conducted interviews.

Based on interview with the Director there was an incident that occurred December 15, 2023 that was not reported to Community Care Licensing. Therefore, the allegation is SUBSTANTIATED, the preponderance of evidence standard has been met.

Title 22, California Code of Regulations are being cited on the attached LIC 9099D.

Exit interview conducted.
Report, Notice of site visit and Appeals Rights provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2024
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 5
Control Number 02-CC-20240315171710
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: BABY ACADEMY, THE
FACILITY NUMBER: 013421993
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/03/2024
Section Cited
CCR
101212(d)(1)(C)
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 Reporting Requirements (C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child. This requirement has not been met as evidenced by:
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Director is to review reporting requirement regulations and submit a written report on the incident and a statement of understanding to CCL by POC date.
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Based on an interview there was an incident that happened at the center that was not reported to CCL, which is a potential risk to child in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5