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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 430710084
Report Date: 05/01/2025
Date Signed: 05/01/2025 01:20:13 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 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
02/07/2025 and conducted by Evaluator Christina Uribe
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20250207153004
FACILITY NAME:CHILDREN'S HOUSE OF LOS ALTOSFACILITY NUMBER:
430710084
ADMINISTRATOR:ELLA M.MAYONFACILITY TYPE:
840
ADDRESS:770 BERRY AVENUETELEPHONE:
(650) 968-9052
CITY:LOS ALTOSSTATE: CAZIP CODE:
94024
CAPACITY:40CENSUS: 0DATE:
05/01/2025
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Courtney MayonTIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
2
3
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8
9
Facility staff not preventing day care children from engaging in inappropriate behaviors towards other children.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 05/01/2025, at 11:30am, Licensing Program Analyst (LPA) Christina Uribe conducted an unannounced visit for the purpose of investigating a complaint for the above allegation of a personal rights violation. LPA met with facility representative, Courtney Mayon. Present during the time of today’s inspection was 0 children and 3 staff.

This agency has investigated the complaint allegation that facility staff are not preventing day care children from engaging in inappropriate behaviors towards other children. During the course of the investigation, LPA Uribe conducted interviews with involved parties and potential witnesses and collected relevant documents. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Notice of Site Visit was given and must be posted for 30 days. Exit interview conducted and report was reviewed with the facility representative, Courtney Mayon.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Christina Uribe
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2025
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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