210105564-10-11-2023-05-CC-DJOO-CWSTMF-20231020145105

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 210105564
Report Date: 10/11/2023
Date Signed: 10/11/2023 02:09:44 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/08/2023 and conducted by Evaluator Nathan Garcia

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20230908104115

FACILITY NAME:	NOAH'S ARK PRESCHOOL		FACILITY NUMBER:	210105564
ADMINISTRATOR:	RUTH ANN NEWBERRY		FACILITY TYPE:	850
ADDRESS:	1370 SOUTH NOVATO BOULEVARD		TELEPHONE:	(415) 892-8498
CITY:	NOVATO	STATE: CA	ZIP CODE:	94947
CAPACITY:	100	CENSUS: 65	DATE:	10/11/2023
		UNANNOUNCED	TIME BEGAN:	01:23 PM
MET WITH:	Heather McCracken		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Staff did not follow proper reporting requirements involving day care child in care.
Staff did not make day care child's records open to inspection by the child's authorized representative.

INVESTIGATION FINDINGS:

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On October 11, 2023, Licensing Program Analyst (LPA), Garcia and Licensing Program Manager (LPM) Oquendo conducted an unannounced conclusionary complaint visit and met with assistant director, Heather McCracken to discuss the above allegations. Purpose of the inspection was explained. Present are, 10 teachers with 65 children.

During the course of the investigation, interviews were conducted with staff members and relevant documents were gathered. Based on the interviews and relevant documents, there was no sufficient evidence to prove that the allegations listed above, occured. Although the allegations may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegations are UNSUBSTANTIATED.

LPA conducted exit interview with assistant director, Heather McCracken.

Report and Notice of Site Visit was provided.

Notice of Site Visit shall be posted for 30 consecutive days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 379-9023
LICENSING EVALUATOR NAME: Nathan Garcia	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2023

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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