214005192-3-24-2022-05-CC-DJOO-CCZUB3-20220330152541

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 214005192
Report Date: 03/24/2022
Date Signed: 03/24/2022 12:52:31 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
02/16/2022 and conducted by Evaluator Sheran Lo

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20220216112510

FACILITY NAME:	C.A.M. (CFS) -CANAL CHILD CARE CENTER (PS)		FACILITY NUMBER:	214005192
ADMINISTRATOR:	LOMBARDI, KELSEY		FACILITY TYPE:	850
ADDRESS:	215 MISSION AVENUE		TELEPHONE:	(415) 457-4036
CITY:	SAN RAFAEL	STATE: CA	ZIP CODE:	94901
CAPACITY:	44	CENSUS: 36	DATE:	03/24/2022
		UNANNOUNCED	TIME BEGAN:	09:02 AM
MET WITH:	Trisha Follins		TIME COMPLETED:	11:18 AM

ALLEGATION(S):

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Daycare child was inappropriately touched by another daycare child.

INVESTIGATION FINDINGS:

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On March 24, 2022, Licensing Program Analyst (LPA), Sheran Lo conducted a subsequent complaint inspection and met with Lead Teacher Trisha Follins to discuss the above allegation. Purpose of the inspection was explained. Present were 6 staff with 36 children.

During the course of the investigation, interviews were conducted with Director, parents, children, and relevant documents were gathered. Based on the interviews and relevant documents, there was no sufficient evidence to prove the daycare child innappropriately touched another daycare child. 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 Teacher. Report and Notice of Site Visit will be emailed to tfollins@camarin.org by the end of business day. Notice of Site Visit shall be posted for 30 consecutive days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Sheran Lo	TELEPHONE: (650) 266-8800
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)

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