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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013421274
Report Date: 01/10/2023
Date Signed: 01/10/2023 10:38:20 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
BAY AREA-CC OAKLAND, 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
12/08/2022 and conducted by Evaluator Arminder Singh
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20221208124459
FACILITY NAME:CALLIRGOS, MANUELAFACILITY NUMBER:
013421274
ADMINISTRATOR:CALLIRGOS, MANUELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 508-2462
CITY:ALAMEDASTATE: CAZIP CODE:
94501
CAPACITY:14CENSUS: 5DATE:
01/10/2023
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Manuela Callirgos and Joycie ShinzatoTIME COMPLETED:
10:40 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not transport children in a safe manner
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Arminder Singh arrived at facility to deliver findings for the above allegation. LPA met with Licensee and fingerprinted Daughter.

It was alleged that staff did not transport children in a safe manner. Through interviews conducted facility stated that they do not transport children. The children are dropped off by the parents and picked up.

Based on the investigative findings, although the allegation may have happened or be valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time.

The facility was provided a copy of the appeal rights. An exit interview was conducted and a copy of the complaint investigation report was provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Arminder Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2023
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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