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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073409261
Report Date: 03/24/2022
Date Signed: 03/24/2022 12:06:28 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
03/17/2022 and conducted by Evaluator Ashley Curry
COMPLAINT CONTROL NUMBER: 02-CC-20220317134243
FACILITY NAME:PHILLIPS, MEESHAFACILITY NUMBER:
073409261
ADMINISTRATOR:PHILLIPS, MEESHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 617-9790
CITY:HERCULESSTATE: ZIP CODE:
94547
CAPACITY:14CENSUS: 4DATE:
03/24/2022
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Meesha PhillipsTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Unlicensed care is being provided
INVESTIGATION FINDINGS:
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On 03/24/2022 at 9:30AM Licensing Program Analysts (LPAs) A. Curry and C. Watts conducted an unannounced complaint investigation and met with Licensee Meesha Phillips to discuss the above allegation.The allegation is unlicensed care is being provided. Licensee stated she has been providing care while in the process of being licensed at the new location. Ms. Phillips has been in continous contact with Licensing to complete the relocation application process. Ms. Phillips is aware that she must reduce the amount of children in care to one family until the application process has been completed. Parents must be notified by Friday 03/25/2022 that care will be suspended until the home is licensed. Today there are 4 children in care from 4 different families. The LPAs toured the facility, reviewed records, and conducted an interview with Meesha Phillips. Based on the LPA’s interviews, record review, and observation the preponderance of evidence standard has been met. Therefore the above allegation is found to be SUBSTANTIATED.
An exit interview was conducted with Meesha Phillips, appeal rights were given, and a copy of this report was provided to the licensee.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2022
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-20220317134243
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: PHILLIPS, MEESHA
FACILITY NUMBER: 073409261
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/24/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/25/2022
Section Cited
HSC
1596.80
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§1596.80 Child day care facilities, licenses No person, firm, partnership, association, or corporation shall operate, establish, manage, conduct, or maintain a child day care facility in this state without a current valid license, therefor as provided in this act.
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By 03/25/2022 the licensee must reduce the amount of children in care to one family.

Parents must be notified that care must be suspended until home is licensed.
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This requirement was not met as evidence by:

The licensee was providing care while being unlicensed.
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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: Loretta Dyson
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2