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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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Reporting Requirement - Licensee did not follow reporting requirements.
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. The incident of a child leaving the premises unsupervised was not reported to Child Care Licensing. The allegation that the Licensee did not follow reporting requirements was SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 3, Article 06, Section 102416.2(b)(2) 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: 7 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
102416.2(b)(2)
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(b) The licensee shall report to the Department any of the events...(2) Any child... any child in care who wanders away from the Family Child Care Home, is lost during an outing, or does not return from school, shall be reported even if the child is later found safe.
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Licensee to ensure all incidents the can/may present a possible health and safety risks to children in care, is to be reported to Child Care Licensing.
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This requirement was not met as evidenced by:

Licensee did not report to Child Care Licensing when a child in care wandered away from the premises.
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Licensee to provide LPA a written statement that will ensure furutre incidents will be reported to Child Care Licensing by September 7, 2027.
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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: 8 of 8