<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 210111549
Report Date: 08/27/2019
Date Signed: 08/27/2019 02:27:34 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
07/24/2019 and conducted by Evaluator Glenn A Schnell
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20190724120130
FACILITY NAME:SANTA MARGARITA CHILD CARE CENTERFACILITY NUMBER:
210111549
ADMINISTRATOR:URYU, ARLEENFACILITY TYPE:
850
ADDRESS:1055 LAS OVEJASTELEPHONE:
(415) 499-1277
CITY:SAN RAFAELSTATE: CAZIP CODE:
94903
CAPACITY:45CENSUS: 28DATE:
08/27/2019
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Arleen UryuTIME COMPLETED:
02:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Lack of supervision resulting in child being bullied
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analysts (LPA's) Glenn Schnell, April Cowan and Harsimran Kaur conducted a complaint investigation inspection to deliver findings for the above allegation. LPA Schnell met with Director Arleen Uryu to discuss finding. The above allegation stems from a concern that a child in care for a period of possibly several weeks was being bullied by one or more other children in the program and this occurred because staff were not properly supervising the children. Bullying behavior described included being called names, mimicking the child's behaviors, being teased, pushed, hit and having rocks thrown at them by another child. As part of this investigation, LPA Schnell conducted an evaluation of care and supervision on 8/2/19 and again during today's inspection. LPA Schnell reviewed facility documents pertaining to the involved child/children, children's facility files, and conducted staff and parent interviews. Due to conflicting information from parties involved, LPA Schnell was not able to prove or disprove that the behaviors described were bullying behaviors or that the behaviors occurred due to a lack of supervision by staff.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Glenn A SchnellTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2019
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 05-CC-20190724120130
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: SANTA MARGARITA CHILD CARE CENTER
FACILITY NUMBER: 210111549
VISIT DATE: 08/27/2019
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
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. A copy of this report and appeal rights were reviewed and provided. Notice of Site visit was observed to be posted and shall remain posted for 30 days.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Glenn A SchnellTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 2