073400249-5-25-2023-02-CC-MMEA-CSKM9K-20230607092448

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 073400249
Report Date: 05/25/2023
Date Signed: 05/25/2023 01:36:45 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
BAY AREA-CC OAKLAND, 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
03/20/2023 and conducted by Evaluator Caroline Colson

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20230320132148

FACILITY NAME:	CONTRA COSTA CO. HEAD START - BALBOA CDC		FACILITY NUMBER:	073400249
ADMINISTRATOR:	DOSS, MARILYN		FACILITY TYPE:	850
ADDRESS:	1001 S. 57TH STREET		TELEPHONE:	(510) 374-7025
CITY:	RICHMOND	STATE: CA	ZIP CODE:	94804
CAPACITY:	140	CENSUS: 78	DATE:	05/25/2023
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Marilyn Doss		TIME COMPLETED:	01:50 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Personal Rights - Teacher pulls child's arm

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On Thursday, May 25, 2023 at 9:45 AM, Licensing Program Analyst (LPA) Caroline Colson met with Marilyn Doss, Center Director, for an unannounced complaint investigation. There are 78 children and 27 staff members including the director. Interviews were conducted. An allegation was made that a staff member pulled a child's arm on multiple occasions. There was not enough evidence to prove or disprove that the allegation may have occurred. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged allegation did or did not occur. Based upon the investigation, the complaint allegation is Unsubstantiated. Exit interview was conducted. Appeal rights were given and discussed. Notice of Site visit must be posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023

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 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
BAY AREA-CC OAKLAND, 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
03/20/2023 and conducted by Evaluator Caroline Colson

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20230320132148

FACILITY NAME:	CONTRA COSTA CO. HEAD START - BALBOA CDC		FACILITY NUMBER:	073400249
ADMINISTRATOR:	DOSS, MARILYN		FACILITY TYPE:	850
ADDRESS:	1001 S. 57TH STREET		TELEPHONE:	(510) 374-7025
CITY:	RICHMOND	STATE: CA	ZIP CODE:	94804
CAPACITY:	140	CENSUS: 78	DATE:	05/25/2023
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Marilyn Doss		TIME COMPLETED:	01:50 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Personal Rights - Staff wakes up child during nap time

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On Thursday, May 25, 2023 at 9:45 AM, Licensing Program Analyst (LPA) Caroline Colson met with Marilyn Doss, Center Director, for an unannounced complaint investigation. There are 78 children and 27 staff members including the director. Interviews were conducted. An allegation was made that a staff member woke a child up to use the bathroom. There was not enough evidence to prove or disprove that the allegation may have occurred. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged allegation did or did not occur. Based upon the investigation, the complaint allegation is Unsubstantiated. Exit interview was conducted. Appeal rights were given and discussed. Notice of Site visit must be posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023

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 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
BAY AREA-CC OAKLAND, 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
03/20/2023 and conducted by Evaluator Caroline Colson

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20230320132148

FACILITY NAME:	CONTRA COSTA CO. HEAD START - BALBOA CDC		FACILITY NUMBER:	073400249
ADMINISTRATOR:	DOSS, MARILYN		FACILITY TYPE:	850
ADDRESS:	1001 S. 57TH STREET		TELEPHONE:	(510) 374-7025
CITY:	RICHMOND	STATE: CA	ZIP CODE:	94804
CAPACITY:	140	CENSUS: 78	DATE:	05/25/2023
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Marilyn Doss		TIME COMPLETED:	01:50 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Personal Rights - Staff said child should be punished

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On Thursday, May 25, 2023 at 9:45 AM, Licensing Program Analyst (LPA) Caroline Colson met with Marilyn Doss, Center Director, for an unannounced complaint investigation. There are 78 children and 27 staff members including the director. Interviews were conducted. A child had been playing outside on the playground. An allegation was made that a staff member disciplined the child by telling the child that the child should be punished. There was not enough evidence to prove or disprove that the allegation may have occurred. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged allegation did or did not occur. Based upon the investigation, the complaint allegation is Unsubstantiated. Exit interview was conducted. Appeal rights were given and discussed. Notice of Site visit must be posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023

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 3