380504369-1-6-2020-05-CC-AMAG-BL633U-20200124165402

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 380504369
Report Date: 01/06/2020
Date Signed: 01/06/2020 12:28:51 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
11/21/2019 and conducted by Evaluator Luis Gomez

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20191121163832

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: 39	DATE:	01/06/2020
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Director, Kathy Tuwai		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Unqualified staff left alone with day care children
Unqualified staff acting as administrator

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Luis J. Gomez and Licensing Program Manager (LPM), Garfield Leung, met with the Director, Kathy Tuwai for complaint investigation of above allegation. Purpose of the inspection was explained. Present is Director and 7 staff supervising 39 preschool children. LPA Gomez and LPM Leung inspected facility with director for health and safety hazards.

During today's inspection LPA Gomez and LPM Leung interviewed site director, performed classroom observations, interviewed staff and reviewed facility records.

As part of this investigation, LPA Gomez conducted inspections of the facility on 11/27/2019 and 1/6/2020. A review of facility records was also completed which included a review of the children’s roster, personnel files, personnel schedule and parent handbook. Also, as part of this complaint investigation, interviews were conducted with the Director and staff.

(Continuation on 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 01/06/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2020

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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Control Number 05-CC-20191121163832

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: ST. NICHOLAS DAY CARE AND PRESCHOOL	FACILITY NUMBER: 380504369
	VISIT DATE: 01/06/2020

NARRATIVE

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(Page 2)
Regarding the allegation of unqualified staff left alone with day care children. Based on interviews with director and staff, in-class observations conducted on 1/6/2020, and review of facility files, LPA is unable to determine if unqualified staff is left alone with day care children. LPA observed preschool classrooms operating within the required staff- child ratio.

Regarding the allegation of unqualified staff acting as administrator. Based on staff and director interviews and a review of facility files, LPA is unable to determine if unqualified staff acting as administrator. LPA confirmed facility has designated a fully qualified teacher as an assistant director, when a substitute director is needed.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. Copy of this report is reviewed and provided to the director. No deficiencies are cited.

Exit interview was conducted with Kathy Tuwai and Notice of site visit was observed being posted.

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 01/06/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2020

LIC9099 (FAS) - (06/04)

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