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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073402545
Report Date: 01/10/2025
Date Signed: 01/10/2025 03:59:06 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 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
12/05/2024 and conducted by Evaluator Tasha Hackett-Alexander
COMPLAINT CONTROL NUMBER: 02-CC-20241205135520
FACILITY NAME:CONTRA COSTA COUNTY CSB GEORGE MILLER CENTERFACILITY NUMBER:
073402545
ADMINISTRATOR:JENNIFER KIRBYFACILITY TYPE:
830
ADDRESS:3068 GRANT STTELEPHONE:
(925) 646-5801
CITY:CONCORDSTATE: CAZIP CODE:
94520
CAPACITY:52CENSUS: 10DATE:
01/10/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:ROSE ANN RAMIROTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
PERSONAL RIGHTS- Staff handled child in a rough manner
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On January 10, 2025, Licensing Program Analyst (LPA) Tasha Alexander met with Site Supervisor Rose Ann Ramiro for a follow up visit in regards to the above complaint allegation.

Upon arrival there are 10 infants present along with 5 infant staff. On this analyst's last visit, interviews were conducted with staff and a facility roster was received. Today interviews were completed.

Although the allegation may have happened or is valid, 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 Site Supervisor Rose Ann Ramiro.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2025
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
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 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
12/05/2024 and conducted by Evaluator Tasha Hackett-Alexander
COMPLAINT CONTROL NUMBER: 02-CC-20241205135520

FACILITY NAME:CONTRA COSTA COUNTY CSB GEORGE MILLER CENTERFACILITY NUMBER:
073402545
ADMINISTRATOR:JENNIFER KIRBYFACILITY TYPE:
830
ADDRESS:3068 GRANT STTELEPHONE:
(925) 646-5801
CITY:CONCORDSTATE: CAZIP CODE:
94520
CAPACITY:52CENSUS: 10DATE:
01/10/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:ROSE ANN RAMIROTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
PERSONAL RIGHTS- Staff threw items at infant in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On January 10, 2025, Licensing Program Analyst (LPA) Tasha Alexander met with Site Supervisor Rose Ann Ramiro for a follow up visit in regards to the above complaint allegation.

Upon arrival there are 10 infants present along with 5 infant staff. On this analyst's last visit, interviews were conducted with staff and a facility roster was received. Today interviews were completed.

Although the allegation may have happened or is valid, 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 Site Supervisor Rose Ann Ramiro.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2025
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 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 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
12/05/2024 and conducted by Evaluator Tasha Hackett-Alexander
COMPLAINT CONTROL NUMBER: 02-CC-20241205135520

FACILITY NAME:CONTRA COSTA COUNTY CSB GEORGE MILLER CENTERFACILITY NUMBER:
073402545
ADMINISTRATOR:JENNIFER KIRBYFACILITY TYPE:
830
ADDRESS:3068 GRANT STTELEPHONE:
(925) 646-5801
CITY:CONCORDSTATE: CAZIP CODE:
94520
CAPACITY:52CENSUS: 10DATE:
01/10/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:ROSE ANN RAMIROTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
PERSONAL RIGHTS- Staff did not prevent infant from hitting other infants in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On January 10, 2025, Licensing Program Analyst (LPA) Tasha Alexander met with Site Supervisor Rose Ann Ramiro for a follow up visit in regards to the above complaint allegation.

Upon arrival there are 10 infants present along with 5 infant staff. On this analyst's last visit, interviews were conducted with staff and a facility roster was received. Today interviews were completed.

Although the allegation may have happened or is valid, 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 Site Supervisor Rose Ann Ramiro.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2025
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 5