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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 015700263
Report Date: 08/25/2026
Date Signed: 08/25/2026 01:37:59 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 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
07/20/2026 and conducted by Evaluator Randy Miranda
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20260720110032

FACILITY NAME:PEREDA LOPEZ, ZAHAIRAFACILITY NUMBER:
015700263
ADMINISTRATOR:PEREDA LOPEZ, ZAHAIRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 449-2984
CITY:FREMONTSTATE:CAZIP CODE:
94536
CAPACITY:14CENSUS: 7DATE:
08/25/2026
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Zahaira Pereda LopezTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Lack of Supervision - Licensee allowed the child to leave the facility without supervision.
INVESTIGATION FINDINGS:
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On August 25, 2026, at 8:40AM, Licensing Program Analyst (LPA) Randy Miranda met with Licensee Zahaira Pereda Lopez to deliver the findings from a complaint investigation for the above allegation. LPA toured the facility and obtained a copy of the facility roster. Present for the inspection was the licensee, licensee’s assistant, licensee's adult daughter, and 7 children in care (3 infants, 3 toddlers, and 1 preschool age).
Based on information obtained through interviews, record reviews, and observations, the preponderance of evidence standard has been met. A child in care left the premises and wandered onto the sidewalk. A neighbor observed the child walking alone, secured the child, and remained with them until authorized adults or the guardian were located and identified. The allegation that the licensee allowed the child to leave the facility without supervision was SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 3, Article 06, Section 102417(a) is cited on the attached LIC 9099D. A notice of site visit was given and must remain posted for 30 days. Appeal Rights provided.
Exit interview conducted and report was reviewed with Licensee, Zahaira Pereda Lopez.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 5 of 8
Control Number 52-CC-20260720110032
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: PEREDA LOPEZ, ZAHAIRA
FACILITY NUMBER: 015700263
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/25/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/07/2026
Section Cited
CCR
102417(a)
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(a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times... providing care per day.

This requirement was not met as evidenced by:
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Licensee to draft a safety plan that will ensure that gates, doors, and barricades are kept closed at all times to prevent children in care from leaving the home without supervision.
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A child in care left the premises and wandered onto the sidewalk. A neighbor observed the child walking alone, secured the child, and remained with them until authorized adults or the guardian were located and identified.
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Licensee to email the safetly plan to LPA, by the due date of September 7, 2026.
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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.
SUPERVISOR'S NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2026
LIC9099 (FAS) - (06/04)
Page: 6 of 8