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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013423105
Report Date: 03/08/2022
Date Signed: 03/08/2022 12:17:59 PM

Unsubstantiated


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
11/16/2021 and conducted by Evaluator Arminder Singh
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20211116152835
FACILITY NAME:BERKELEY LITTLE SCHOOLFACILITY NUMBER:
013423105
ADMINISTRATOR:HOLLY GOLDFACILITY TYPE:
850
ADDRESS:1611 HOPKINS STREETTELEPHONE:
(510) 900-2433
CITY:BERKELEYSTATE: CAZIP CODE:
94707
CAPACITY:42CENSUS: 28DATE:
03/08/2022
UNANNOUNCEDTIME BEGAN:
10:29 AM
MET WITH:Erika AstabieTIME COMPLETED:
12:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility is not maintained clean and sanitary
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Arminder Singh met with Director, Erika Astabie to deliver findings for the above allegation.

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. LPA has observed the facility in clean and sanitary condition during visit.

The facillity was provided a copy of the appeal rights. An exit interview was conducted and a copy of the complaint investigation report was provided and Notice of Site was issued.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Arminder Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2022
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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