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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073408864
Report Date: 12/19/2023
Date Signed: 12/19/2023 11:11:42 AM

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
10/24/2023 and conducted by Evaluator Cherie Acosta
COMPLAINT CONTROL NUMBER: 02-CC-20231024124217
FACILITY NAME:KIDDIE ACADEMYFACILITY NUMBER:
073408864
ADMINISTRATOR:GRICELDA MITCHELLFACILITY TYPE:
850
ADDRESS:1620 NERLOY RD.TELEPHONE:
(925) 261-6717
CITY:OAKLEYSTATE: CAZIP CODE:
94561
CAPACITY:114CENSUS: 46DATE:
12/19/2023
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Noelle MillsTIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
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9
Staff pinched child in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
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7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Cherie Acosta conducted an unannounced visit to deliver finding on the above allegation. LPA met with Director Noelle Mills.

During the investigation LPA conducted interviews. It was reported that a staff member was observed pinching a child in care. The staff member accused of pinching the child denied pinching the child. LPA received conflicting information during interviews.
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 deemed unsubstantiated.
Notice of Site Visit was provided and must be posted for 30 days.
Exit interview and report reviewed with Noelle Mills.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2023
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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