<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073409330
Report Date: 11/26/2024
Date Signed: 11/26/2024 12:05:58 PM

Substantiated


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
09/30/2024 and conducted by Evaluator Janai McClain
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20240930100135
FACILITY NAME:GATTI, CRYSTALFACILITY NUMBER:
073409330
ADMINISTRATOR:GATTI, CRYSTALFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 852-7466
CITY:ANTIOCHSTATE: CAZIP CODE:
94509
CAPACITY:14CENSUS: 7DATE:
11/26/2024
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Jenna VacaTIME COMPLETED:
12:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Provider fed day care child a known allergen resulting in hospitalization
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/26/24 Licensing Program Analysts (LPAs) Janai McClain and Tasha Alexander met with assistant Jenna Vaca to deliver the findings to the above complaint allegation.

Upon arrival there are 4 school age children, 2 preschool age children, and 1 infant present along with 1 staff. On analysts last visit, an interview was conducted with the licensee and documents were reviewed. Further investigation has been conducted.

Based on LPAs observations and interviews which were conducted, a child was fed a known allergen while in care resulting in hospitalization. Therefore the preponderance of evidence standard has been met, the allegation is SUBSTANTIATED. See 9099-D.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Janai McClain
LICENSING EVALUATOR SIGNATURE:

DATE: 11/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2024
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
09/30/2024 and conducted by Evaluator Janai McClain
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20240930100135

FACILITY NAME:GATTI, CRYSTALFACILITY NUMBER:
073409330
ADMINISTRATOR:GATTI, CRYSTALFACILITY TYPE:
810
ADDRESS:3028 ELMO RDTELEPHONE:
(925) 852-7466
CITY:ANTIOCHSTATE: CAZIP CODE:
94509
CAPACITY:11CENSUS: 7DATE:
11/26/2024
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Jenna VacaTIME COMPLETED:
12:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee is operating out of ratio.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/26/24 Licensing Program Analysts (LPAs) Janai McClain and Tasha Alexander met with assistant Jenna Vaca to deliver the findings to the above complaint allegation.

Upon arrival there are 4 school age children, 2 preschool age children, and 1 infant present along with 1 staff. On analysts last visit, an interview was conducted with the licensee and documents were reviewed. Further investigation has been conducted.

Based on LPAs observations the facility is operating with sufficient staff present. 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. Report and Appeal Rights provided.
A notice of site visit was given and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Janai McClain
LICENSING EVALUATOR SIGNATURE:

DATE: 11/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2024
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
09/30/2024 and conducted by Evaluator Janai McClain
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20240930100135

FACILITY NAME:GATTI, CRYSTALFACILITY NUMBER:
073409330
ADMINISTRATOR:GATTI, CRYSTALFACILITY TYPE:
810
ADDRESS:3028 ELMO RDTELEPHONE:
(925) 852-7466
CITY:ANTIOCHSTATE: CAZIP CODE:
94509
CAPACITY:11CENSUS: 7DATE:
11/26/2024
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Jenna VacaTIME COMPLETED:
12:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee is operating over capacity.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/26/24 Licensing Program Analysts (LPAs) Janai McClain and Tasha Alexander met with assistant Jenna Vaca to deliver the findings to the above complaint allegation.

Upon arrival there are 4 school age children, 2 preschool age children, and 1 infant present along with 1 staff. On analysts last visit, an interview was conducted with the licensee and documents were reviewed. Further investigation has been conducted.

Based on LPAs observations the facility is operating within its licensed capacity. 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. Report and Appeal Rights provided.
A notice of site visit was given and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Janai McClain
LICENSING EVALUATOR SIGNATURE:

DATE: 11/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2024
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 5
Control Number 02-CC-20240930100135
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: GATTI, CRYSTAL
FACILITY NUMBER: 073409330
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/26/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/27/2024
Section Cited
CCR
102423(a)(2)
1
2
3
4
5
6
7
102423 Personal Rights (a) Each child receiving services from a family child care home shall have certain rights... (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement has not been met as evidenced by:
1
2
3
4
5
6
7
By 11/27/2024, Licensee will submit a plan of action stating the actions that will be taken to prevent this from occuring again. Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
8
9
10
11
12
13
14
Based on interview, the licensee did not comply with the section cited above when staff served child a known allergen which posed an immediate risk to the health, safety or personal rights of children in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Janai McClain
LICENSING EVALUATOR SIGNATURE:

DATE: 11/26/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 02-CC-20240930100135
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: GATTI, CRYSTAL
FACILITY NUMBER: 073409330
VISIT DATE: 11/26/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
LPAs informed assistant that this report dated 11/26/2024 document(s) 1 Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

LPAs informed the assistant to provide a copy of this licensing report to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted. Report and Appeal Rights provided.
A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Janai McClain
LICENSING EVALUATOR SIGNATURE:

DATE: 11/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5