380504369-4-29-2025-05-CC-MROZ-DGQV3E-20250516160437

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 380504369
Report Date: 04/29/2025
Date Signed: 04/29/2025 04:35:26 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 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
03/18/2025 and conducted by Evaluator Catrina Quimbo

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20250318112521

FACILITY NAME:	ST. NICHOLAS DAY CARE AND PRESCHOOL		FACILITY NUMBER:	380504369
ADMINISTRATOR:	TUWAI, KATHY		FACILITY TYPE:	850
ADDRESS:	5200 DIAMOND HEIGHTS BLVD.		TELEPHONE:	(415) 550-1536
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94131
CAPACITY:	70	CENSUS: 58	DATE:	04/29/2025
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Kathy Tuwai		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Staff handled day care child in a rough manner.

INVESTIGATION FINDINGS:

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On April 29, 2025 at approximately 8:30am, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, complaint visit. LPA met with director, Kathy Tuwai, and explained the purpose of the visit.

Facility is a combination preschool and infant programs. Under the preschool license, present during today’s visit included 58 children and 11 staff (including director). Under the infant license, present during today’s visit included 30 infants and 9 staff.

Throughout investigation, LPA conducted facility observations, obtained facility footage, interviewed individuals, and reviewed facility records.

On March 17, 2025 at approximately 9:00am, an incident occurred in Honeybees classroom. Director provided LPA video footage of incident at LPA’s request. Through video footage, LPA observed teaching staff (S1) to pick an enrolled child (C1) up from their armpits, sitting C1 in a chair and pushing C1’s chair into table. LPA did not observe S1 to speak with C1 prior to picking C1 up. Per director, C1 did not obtain any injuries.

Parent handbook given to enrolled children’s families state staff are to emulate appropriate behavior and respecting the space and bodies of others.
(Continue Report on Page 2...)

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 04/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2025

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 3

Control Number 05-CC-20250318112521

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: ST. NICHOLAS DAY CARE AND PRESCHOOL	FACILITY NUMBER: 380504369
	VISIT DATE: 04/29/2025

NARRATIVE

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(Continued, Page 2...)
Through video footage, LPA observed S1 to handle C1 in a rough manner.

Based on observations, interviews and facility records, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, are being cited. Please refer to 9099D for more information.

A type A citation has been issued. A plan of correction was discussed with director. Appeal rights were provided.

LPA Quimbo informed director, Kathy Tuwai, that this report dated April 29, 2025 documents one Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Quimbo informed the director to provide a copy of this licensing report dated April 29, 2025 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with director, Kathy Tuwai.

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 04/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 05-CC-20250318112521

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: ST. NICHOLAS DAY CARE AND PRESCHOOL	FACILITY NUMBER: 380504369
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/29/2025

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 04/30/2025 Section Cited CCR 101223(a)(1)	1 2 3 4 5 6 7	101223 Personal Rights (a) The licensee shall ensure that each child is according the following…(1) To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Director had an informal meeting with S1 in regards to personal rights. Director will have a formal meeting with preschool staff addressing personal rights. Proof of meeting to be submitted to LPA.
	8 9 10 11 12 13 14	Based on observation, interview and record review, S1 picked C1 from their armpits, sits C1 down in a chair and pushes C1's chair into a table without speaking to C1. This poses an immediate health, safety or personal rights risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 04/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 3