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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 075700618
Report Date: 08/22/2024
Date Signed: 08/22/2024 03:34:02 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/15/2024 and conducted by Evaluator Caroline Colson
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20240815114301
FACILITY NAME:KIDS' COUNTRY AT LIVE OAKFACILITY NUMBER:
075700618
ADMINISTRATOR:ROWENA ALEGREFACILITY TYPE:
860
ADDRESS:5151 SHERWOOD WAYTELEPHONE:
(925) 743-3186
CITY:SAN RAMONSTATE: CAZIP CODE:
94582
CAPACITY:194CENSUS: 60DATE:
08/22/2024
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Rowena AlegreTIME COMPLETED:
03:48 PM
ALLEGATION(S):
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Unlicensed Care - Unlicensed Care is being provided.
INVESTIGATION FINDINGS:
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On Thursday, August 22, 2024 at 2:45 PM, Licensing Program Analysts Caroline Colson and Morgan Pringle met with Rowena Alegre, Director, for an unannounced complaint. There are 60 children and eight members including director present. There is a pending new application in process with the Centralized Application Bureau.

Based upon LPA's observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Health and Safety 1596.80 is being cited on the attached LIC 9099 D.

The attached type A deficiency is being cited today. An exit interview was conducted.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2024
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 2
Control Number 52-CC-20240815114301
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: KIDS' COUNTRY AT LIVE OAK
FACILITY NUMBER: 075700618
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/22/2024
Section Cited
HSC
1596.80
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Child day care facilities, licenses
No person, firm, partnership, association, or corporation shall operate, establish, manage, conduct, or maintain a child day care facility in this state without a current valid license, therefore as provided in this act.
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Applicant has a pending application and is being processed. Notice of Operation In Violation of Law was given. The deficiency has been corrected.
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Based on observation and interview, Applicant did not comply with section stated above as it was determined that unlicensed child care is being provided, which poses an immediate health, safety, or personal rights risk to children in care.
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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: Mai Lor
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2