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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 210111549
Report Date: 06/15/2022
Date Signed: 06/15/2022 01:40:35 PM

Unsubstantiated


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
06/10/2022 and conducted by Evaluator Sheran Lo
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20220610095113
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: 37DATE:
06/15/2022
UNANNOUNCEDTIME BEGAN:
11:39 AM
MET WITH:Claudia SanchezTIME COMPLETED:
01:25 PM
ALLEGATION(S):
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9
Personal Rights
-Staff handled child in a rough manner
-Staff left child unsupervised
-Staff did not treat day care child with respect
INVESTIGATION FINDINGS:
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On June 15, 2022, Licensing Program Analyst (LPA) Sheran Lo conducted a complaint investigation in response to the above complaint allegation. LPA met with Site Supervisor Claudia Sanchez and explained purpose of inspection. Present with Site Supervisor is Director Arleen Uryu, 7staff, and 37 children.

During the course of the investigation, interviews were conducted with children, Site Supervisor, staff, and relevant documents were gathered. Based on the interviews and relevant documents, there was no sufficient evidence to prove that staff handled child rough, left unsupervised, or treat with disrespect. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is Unsubstantiated.

LPA conducted exit interview with Site Supervisor. Report and Notice of Site Visit will be emailed. Notice of Site Visit shall be posted for 30 consecutive days.

Unsubstantiated
Estimated Days of Completion: 60
SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Sheran LoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 06/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2022
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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