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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434404887
Report Date: 05/28/2024
Date Signed: 05/28/2024 04:00:46 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
03/15/2024 and conducted by Evaluator Michael Mathew
COMPLAINT CONTROL NUMBER: 52-CC-20240315165911
FACILITY NAME:BESSE BOLTON KIDS CLUBFACILITY NUMBER:
434404887
ADMINISTRATOR:LOZANO, RENITAFACILITY TYPE:
840
ADDRESS:500 EAST MEADOWTELEPHONE:
(650) 856-0847
CITY:PALO ALTOSTATE: CAZIP CODE:
94306
CAPACITY:80CENSUS: 7DATE:
05/28/2024
UNANNOUNCEDTIME BEGAN:
01:33 PM
MET WITH:Natalee Garay TIME COMPLETED:
04:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff forced children in care to participate in activities.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 5/28/24 at, 1:33 PM Licensing Program Analyst (LPA) Michael Mathew conducted an unannounced inspection to conclude a complaint investigation and completed a COVID-19 pre-screening questions prior to entering the facility. LPA met with Director Natalee Garay and advised her the purpose of the inspection. Director provided LPA a tour of the facility inside and out. There were 7 children and 3 staff in care at the time of the inspection.

Allegation:Staff forced children in care to participate in activities. During the investigation, LPA interviewed Reporting party, staff members,parents, and children. Based on interviews conducted, there is not a preponderance of evidence to prove the alleged violation did or did not occur, meaning the allegations may have happened or are valid. Therefore, the allegations are deemed UNSUBSTANTIATED.

Report was reviewed and a notice of site visit was given and must remain posted for 30 days. Exit interview was conducted with director Natalee Garay.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Michael Mathew
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2024
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 3
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
03/15/2024 and conducted by Evaluator Michael Mathew
COMPLAINT CONTROL NUMBER: 52-CC-20240315165911

FACILITY NAME:BESSE BOLTON KIDS CLUBFACILITY NUMBER:
434404887
ADMINISTRATOR:LOZANO, RENITAFACILITY TYPE:
840
ADDRESS:500 EAST MEADOWTELEPHONE:
(650) 856-0847
CITY:PALO ALTOSTATE: CAZIP CODE:
94306
CAPACITY:80CENSUS: 7DATE:
05/28/2024
UNANNOUNCEDTIME BEGAN:
01:33 PM
MET WITH:Natalee Garay TIME COMPLETED:
04:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff excluded children in care from participating in activities.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 5/28/24 at, 1:33 PM Licensing Program Analyst (LPA) Michael Mathew conducted an unannounced inspection to conclude a complaint investigation and completed a COVID-19 pre-screening questions prior to entering the facility. LPA met with Director Natalee Garay and advised her the purpose of the inspection. Director provided LPA a tour of the facility inside and out. There were 7 children and 3 staff in care at the time of the inspection.

Allegation:Staff excluded children in care from participating in activities.. During the investigation, LPA interviewed Reporting party, staff members,parents, and children. Based on interviews conducted, there is not a preponderance of evidence to prove the alleged violation did or did not occur, meaning the allegations may have happened or are valid. Therefore, the allegations are deemed UNSUBSTANTIATED.

Report was reviewed and a notice of site visit was given and must remain posted for 30 days. Exit interview was conducted with director Natalee Garay.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Michael Mathew
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2024
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 3
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
03/15/2024 and conducted by Evaluator Michael Mathew
COMPLAINT CONTROL NUMBER: 52-CC-20240315165911

FACILITY NAME:BESSE BOLTON KIDS CLUBFACILITY NUMBER:
434404887
ADMINISTRATOR:LOZANO, RENITAFACILITY TYPE:
840
ADDRESS:500 EAST MEADOWTELEPHONE:
(650) 856-0847
CITY:PALO ALTOSTATE: CAZIP CODE:
94306
CAPACITY:80CENSUS: 7DATE:
05/28/2024
UNANNOUNCEDTIME BEGAN:
01:33 PM
MET WITH:Natalee GarayTIME COMPLETED:
04:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff member yells at children in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 5/28/24 at, 1:33 PM Licensing Program Analyst (LPA) Michael Mathew conducted an unannounced inspection to conclude a complaint investigation and completed a COVID-19 pre-screening questions prior to entering the facility. LPA met with Director Natalee Garay and advised her the purpose of the inspection. Director provided LPA a tour of the facility inside and out. There were 7 children and 3 staff in care at the time of the inspection.

Allegation:Staff member yells at children in care. During the investigation, LPA interviewed Reporting party, staff members,parents, and children. Based on interviews conducted, there is not a preponderance of evidence to prove the alleged violation did or did not occur, meaning the allegations may have happened or are valid. Therefore, the allegations are deemed UNSUBSTANTIATED.

Report was reviewed and a notice of site visit was given and must remain posted for 30 days. Exit interview was conducted with director Natalee Garay.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Michael Mathew
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2024
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 3