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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013423697
Report Date: 05/25/2023
Date Signed: 06/07/2023 01:49:44 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
05/11/2023 and conducted by Evaluator Melissa Domantay
COMPLAINT CONTROL NUMBER: 02-CC-20230511151146
FACILITY NAME:WALKER, MEGANFACILITY NUMBER:
013423697
ADMINISTRATOR:WALKER, MEGANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(602) 206-4522
CITY:OAKLANDSTATE: CAZIP CODE:
94619
CAPACITY:14CENSUS: 4DATE:
05/25/2023
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Megan WalkerTIME COMPLETED:
01:20 PM
ALLEGATION(S):
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Personal Rights - Licensee engaged in an altercation with another adult in the presence of day care children.
INVESTIGATION FINDINGS:
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On May 25, 2023, Licensing Program Analysts (LPAs) Melissa Domantay and Melissa Guirit met with Licensee Megan Walker to deliver the findings of the above complaint.

The complaint states that the Child’s personal rights were violated by Licensee engaging in an altercation with another adult in the presence of day care children. Based on staff and parent interviews conducted, It was determined that the Licensee engaged in an altercation with another adult in the presence of daycare children violating the children's personal rights. Although Licensee did what was in the best interest to protect the children, personal rights were violated by the Landlord. Therefore, the complaint has been determined to be Substantiated based on the LPA’s staff and parent interviews the preponderance of evidence standard has been met. Therefore the above allegation is found to be SUBSTANTIATED.

Exit interview was conducted with Licensee.
Report and Appeal Rights provided.Notice of Site Visit must be posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023
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 02-CC-20230511151146
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: WALKER, MEGAN
FACILITY NUMBER: 013423697
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/25/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
CCR
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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: Mayla Mendoza
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2