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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 380504369
Report Date: 01/14/2020
Date Signed: 01/14/2020 12:49:02 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 PRESCHOOLFACILITY NUMBER:
380504369
ADMINISTRATOR:TUWAI, KATHYFACILITY TYPE:
850
ADDRESS:5200 DIAMOND HEIGHTS BLVD.TELEPHONE:
(415) 550-1536
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94131
CAPACITY:70CENSUS: 43DATE:
01/14/2020
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Director, Kathy Tuwai TIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff engaged in verbal altercation in front of day care children.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Luis J. Gomez and Licensing met with the Director, Kathy Tuwai for complaint investigation of above allegation. Purpose of the inspection was explained. Present is Director and 5 staff supervising 43 preschool children. LPA Gomez inspected facility with director for health and safety hazards.

During today's inspection LPA Gomez interviewed staff, children, performed site observations and reviewed facility records.

As part of this investigation, LPA Gomez conducted inspections of the facility on 11/27/2019, 1/6/2020 and 1/14/2020. A review of facility records was also completed which included a review of the children’s roster, children’s files, personnel files, personnel schedule and parent handbook. Also, as part of this complaint investigation, interviews were conducted with the director, staff, children and a random sampling of parents.

(Continuation on 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2020
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
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: 01/14/2020
NARRATIVE
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(Page 2)
Regarding the allegation of staff engaged in verbal altercation in front of day care children. Based on interviews conducted with children, staff, director and in-class observations performed, LPA is unable to determine if staff engaged in a verbal altercation in front of day-care children. During inspections, LPA observed appropriate classroom interactions and verbal communication between all facility staff.

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 MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2