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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 015700555
Report Date: 12/11/2023
Date Signed: 12/11/2023 11:18:58 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
10/03/2023 and conducted by Evaluator Elimika Woods
COMPLAINT CONTROL NUMBER: 52-CC-20231003163246
FACILITY NAME:LEVEL UP MONTESSORI - HAYWARDFACILITY NUMBER:
015700555
ADMINISTRATOR:GANESAN, SUNDARIFACILITY TYPE:
850
ADDRESS:31145 MISSION BOULEVARDTELEPHONE:
(408) 431-7003
CITY:HAYWARDSTATE: CAZIP CODE:
94544
CAPACITY:78CENSUS: 25DATE:
12/11/2023
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Betsy RajTIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights-Staff did not accord child dignity in their relationship with staff or other persons.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On December 11, 2023 at 8:30 AM, Licensing Program Analyst (LPA) Elimika Woods arrived to the facility unannounced to conclude an investigation into the above allegation. Upon arrival LPA was allowed in by the facility representative, Betsy Raj. Present during the visit were 25 pre-school children and three additional staff members. LPA informed the facility representative of the reason for visit and toured the facility.

Based on the interviews and observations conducted, this agency has investigated the complaint that staff did not accord child dignity in their relationship with staff or other persons and the LPA determined that the complaint was UNSUBSTANTIATED, meaning , 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.

Exit interview conducted with the facility representatives,Betsy Raj, appeal rights and Notice of Site Visit was provided and must remain posted for a period of 30 days.

Unsubstantiated
Estimated Days of Completion: 10
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Elimika Woods
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2023
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 4
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
10/03/2023 and conducted by Evaluator Elimika Woods
COMPLAINT CONTROL NUMBER: 52-CC-20231003163246

FACILITY NAME:LEVEL UP MONTESSORI - HAYWARDFACILITY NUMBER:
015700555
ADMINISTRATOR:GANESAN, SUNDARIFACILITY TYPE:
850
ADDRESS:31145 MISSION BOULEVARDTELEPHONE:
(408) 431-7003
CITY:HAYWARDSTATE: CAZIP CODE:
94544
CAPACITY:78CENSUS: 25DATE:
12/11/2023
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Betsy RajTIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Other-Staff left hazardous objects accessible to children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On December 11, 2023 at 8:30 AM, Licensing Program Analyst (LPA) Elimika Woods arrived to the facility unannounced to conclude an investigation into the above allegation. Upon arrival LPA was allowed in by the facility representative, Betsy Raj. Present during the visit were 25 pre-school children and three additional staff members. LPA informed the facility representative of the reason for visit and toured the facility.

Based on the interviews and observations conducted, this agency has investigated the complaint that staff left hazardous objects accessible to children and the LPA determined that the complaint was UNSUBSTANTIATED, meaning, 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.

Exit interview conducted with the facility representatives,Betsy Raj, appeal rights and Notice of Site Visit was provided and must remain posted for a period of 30 days.
Unsubstantiated
Estimated Days of Completion: 10
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Elimika Woods
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2023
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 4
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
10/03/2023 and conducted by Evaluator Elimika Woods
COMPLAINT CONTROL NUMBER: 52-CC-20231003163246

FACILITY NAME:LEVEL UP MONTESSORI - HAYWARDFACILITY NUMBER:
015700555
ADMINISTRATOR:GANESAN, SUNDARIFACILITY TYPE:
850
ADDRESS:31145 MISSION BOULEVARDTELEPHONE:
(408) 431-7003
CITY:HAYWARDSTATE: CAZIP CODE:
94544
CAPACITY:78CENSUS: 25DATE:
12/11/2023
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Betsy RajTIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights-Staff spoke inappropriately to child while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On December 11, 2023 at 8:30 AM, Licensing Program Analyst (LPA) Elimika Woods arrived to the facility unannounced to conclude an investigation into the above allegation. Upon arrival LPA was allowed in by the facility representative, Betsy Raj. Present during the visit were 25 pre-school children and three additional staff members. LPA informed the facility representative of the reason for visit and toured the facility.

Based on the interviews and observations conducted, this agency has investigated the complaint that staff spoke inappropriately to child while in care and the LPA determined that the complaint was UNSUBSTANTIATED, meaning, 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.

Exit interview conducted with the facility representatives,Betsy Raj, appeal rights and Notice of Site Visit was provided and must remain posted for a period of 30 days.
Unsubstantiated
Estimated Days of Completion: 10
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Elimika Woods
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
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
10/03/2023 and conducted by Evaluator Elimika Woods
COMPLAINT CONTROL NUMBER: 52-CC-20231003163246

FACILITY NAME:LEVEL UP MONTESSORI - HAYWARDFACILITY NUMBER:
015700555
ADMINISTRATOR:GANESAN, SUNDARIFACILITY TYPE:
850
ADDRESS:31145 MISSION BOULEVARDTELEPHONE:
(408) 431-7003
CITY:HAYWARDSTATE: CAZIP CODE:
94544
CAPACITY:78CENSUS: 25DATE:
12/11/2023
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Betsy RajTIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights-Staff hit a child in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On December 11, 2023 at 8:30 AM, Licensing Program Analyst (LPA) Elimika Woods arrived to the facility unannounced to conclude an investigation into the above allegation. Upon arrival LPA was allowed in by the facility representative, Betsy Raj. Present during the visit were 25 pre-school children and three additional staff members. LPA informed the facility representative of the reason for visit and toured the facility.

Based on the interviews and observations conducted, this agency has investigated the complaint that staff hit a child in care and the LPA determined that the complaint was UNSUBSTANTIATED, meaning, 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.

Exit interview conducted with the facility representatives,Betsy Raj, appeal rights and Notice of Site Visit was provided and must remain posted for a period of 30 days.
Unsubstantiated
Estimated Days of Completion: 10
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Elimika Woods
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 4