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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013423370
Report Date: 07/24/2023
Date Signed: 07/24/2023 03:08:03 PM

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
07/20/2023 and conducted by Evaluator Sidney Cortez
COMPLAINT CONTROL NUMBER: 52-CC-20230720121259
FACILITY NAME:RHODES, ERIKAFACILITY NUMBER:
013423370
ADMINISTRATOR:ERIKA EHODESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 771-3565
CITY:SAN LORENZOSTATE: CAZIP CODE:
94580
CAPACITY:14CENSUS: 6DATE:
07/24/2023
UNANNOUNCEDTIME BEGAN:
01:36 PM
MET WITH:Erika RhodesTIME COMPLETED:
04:17 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Lack of Supervision
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On Monday, July 24, 2023 Licensing Program Analyst (LPA) Sidney Cortez conducted an unannounced Initial 10 Day Complaint Investigation. LPA met with the licensee and explained the nature of site visit. Present on this visit is the licensee, her fingerprint cleared assistant Sandra Roman and 6 Children (3 infants, and 3 pre school age). Facility operates from Monday to Friday 7:00 am to 6:00 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)
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