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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 214005507
Report Date: 01/30/2024
Date Signed: 01/30/2024 03:44:00 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
11/28/2023 and conducted by Evaluator Nathan Garcia
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20231128122206
FACILITY NAME:CANALES, EVELYN A.FACILITY NUMBER:
214005507
ADMINISTRATOR:CANALES, EVELYNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 234-8646
CITY:NOVATOSTATE: CAZIP CODE:
94949
CAPACITY:14CENSUS: 4DATE:
01/30/2024
UNANNOUNCEDTIME BEGAN:
02:21 PM
MET WITH:Evelyn CanalesTIME COMPLETED:
03:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee yells at children in care.
Licensee left day-care child in a soiled diaper for a long period of time.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On January 30, 2024, Licensing Program Analyst (LPA), Garcia conducted an unannounced conclusionary complaint visit and met with Licensee, Evelyn Canales to discuss the above allegations. Purpose of the inspection was explained. Present were the licensee and her husband with 4 children.

During the course of the investigation, interviews were conducted with Licensee, children 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 Licensee, Evelyn Canales.

Report and Notice of Site Visit was provided.

Notice of Site Visit shall be posted for 30 consecutive days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Nathan Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2024
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