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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 015700222
Report Date: 12/13/2023
Date Signed: 12/13/2023 11:11:00 AM

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
11/14/2023 and conducted by Evaluator Jyoti Saini
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20231114084315

FACILITY NAME:SINGH, TVAPRAKASHFACILITY NUMBER:
015700222
ADMINISTRATOR:SINGH, TVAPRAKASHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 706-7570
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY:14CENSUS: 7DATE:
12/13/2023
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Licensee, Tvaprakash SinghTIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
-Facility is malodorous.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Jyoti Saini arrived unannounced to deliver the findings from a complaint investigation for the above allegation and met licensee Tvaprakash Singh. There was a licensee, husband, and helper supervising seven (7) children (four infants and three preschoolers).
Based on the interview, observation, record review, and the department's past visits to the Facility, LPA did not observe any smell/odor in the Facility. Therefore, the alleged Facility is malodorous may have happened or is valid; there is no preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is unsubstantiated.

An exit interview was conducted with Licensee, Tvaprakash Singh.

A notice of site visit was posted and must remain posted for a period of 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2023
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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