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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013417886
Report Date: 08/28/2026
Date Signed: 08/28/2026 09:41:33 AM

Unsubstantiated


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
08/03/2026 and conducted by Evaluator Liam Bucsko
COMPLAINT CONTROL NUMBER: 02-CC-20260803115510
FACILITY NAME:LI, JIANFACILITY NUMBER:
013417886
ADMINISTRATOR:LI, JIANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 523-1035
CITY:ALAMEDASTATE: CAZIP CODE:
94501
CAPACITY:14CENSUS: 2DATE:
08/28/2026
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Jian LiTIME COMPLETED:
09:55 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Hazardous materials accessible to children.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 08/28/2026 at 08:30 AM, Licensing Program Analyst (LPA) Liam Bucsko conducted an Unannounced Subsequent Complaint Investigation at Jian Li’s Small Family Child Care Home. LPA met with Licensee and explained the purpose of today’s inspection. The finding for the above allegation was delivered during the inspection.
Complaint alleges that hazardous materials are accessible to children at the facility. During the course of the investigation, LPA completed a physical plant inspection, reviewed facility records, obtained documents, and conducted interviews. Based on the interviews and information obtained throughout the investigation, at this time, no evidence has been provided to confirm that hazardous materials are currently present in areas accessible to children in care at the facility. Therefore, the allegation is UNSUBSTANTIATED, which means 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.
No Deficiency has been cited for this allegation. Exit interview conducted with Licensee Jian Li. A Notice of Site Visit form was provided and must be posted for 30 consecutive days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Liam Bucsko
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2026
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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