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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073402545
Report Date: 11/04/2025
Date Signed: 11/04/2025 01:00:59 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
09/22/2025 and conducted by Evaluator Indira Loza
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20250922114910
FACILITY NAME:CONTRA COSTA COUNTY CSB GEORGE MILLER CENTERFACILITY NUMBER:
073402545
ADMINISTRATOR:AVERYL DE VERAFACILITY TYPE:
830
ADDRESS:3068 GRANT STTELEPHONE:
(925) 646-5801
CITY:CONCORDSTATE: CAZIP CODE:
94520
CAPACITY:52CENSUS: 20DATE:
11/04/2025
UNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Averyl De VeraTIME COMPLETED:
01:05 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Child in care received unexplained injury
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On November 4, 2025 at 11:40am, Licensing Program Analysts (LPAs) Indira Loza and Catherine Fernandes arrived unannounced to deliver the findings to the above allegation. LPAs met with Director Averyl De Vera. Present in care were 20 infants and 7 addtional staff members. During the investigation LPAs conducted interviews, observed the classrooms, reviewed center documentation, and toured the center.
Interviews and reviewed documents provided conflicting information, therefore the allegation is unsubstantiated. 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.
Exit interview conducted with Director Averyl De Vera.
Report and Notice of Site visit provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2025
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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