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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073409509
Report Date: 09/17/2026
Date Signed: 09/17/2026 12:20:52 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 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
09/03/2026 and conducted by Evaluator Tasha Hackett-Alexander
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20260903094424
FACILITY NAME:NGUYEN, NHAFACILITY NUMBER:
073409509
ADMINISTRATOR:NGUYEN, NHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(707) 813-4015
CITY:MARTINEZSTATE: CAZIP CODE:
94553
CAPACITY:14CENSUS: 11DATE:
09/17/2026
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:NHA NGUYENTIME COMPLETED:
12:30 PM
ALLEGATION(S):
1
2
3
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5
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7
8
9
PERSONAL RIGHTS- Licensee screams at children in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 9/17/2026 Licensing Program Analyst (LPA) Tasha Alexander conducted a subsequent visit to deliver the findings to the above complaint allegation. LPA met with licensee Nha Nguyen and explained the purpose of the visit.

Upon entry into the home LPA observed along with license, her 2 adult assistants and 11 children in care, consisting of three (3) infants and eight (8) preschoolers. During LPA’s previous visit, staff interviews and a tour of the home were conducted. Video footage has also been obtained and reviewed. During interviews it was admitted that the licensee speaks loudly, but denies speaking harshly to the chidren in care. The video footage obtained only revealed a voice or voices of someone speaking in a raised voice or voices, it is unknown who was speaking. LPA is unable to prove or disprove if the person or persons were the licensee and/or staff or if the language was harsh in tone.

Although the allegation may have happened or is valid, there is not a 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 Nha Nguyen.
A notice of site visit was given and must remain posted for 30 consecutive days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:

DATE: 09/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2026
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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