380504523-6-7-2023-05-CC-AZEA-CSTM99-20230615092420

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 380504523
Report Date: 06/07/2023
Date Signed: 06/07/2023 12:21:20 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
03/14/2023 and conducted by Evaluator Luis Gomez

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20230314131825

FACILITY NAME:	KATHERINE MICHIELS SCHOOL (PRE-K)		FACILITY NUMBER:	380504523
ADMINISTRATOR:	ANCHETA, YOLANDA		FACILITY TYPE:	850
ADDRESS:	1335 GUERRERO		TELEPHONE:	(415) 821-0130
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94110
CAPACITY:	36	CENSUS: 26	DATE:	06/07/2023
		UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Shelby Emmerson		TIME COMPLETED:	12:20 PM

ALLEGATION(S):

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Staff did not ensure that child's toileting needs were met.
Staff left children in soiled clothing for an extended period of time.
Staff inappropriately disciplined children in care.
Staff interfered with child's sleep.

INVESTIGATION FINDINGS:

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On 6/7/2023 at 8:40AM., Licensing Program Analyst (LPA), Luis J. Gomez met with Interim Director, Shelby Emmerson. Purpose of inspection was explained and was for an unannounced, complaint investigation. Present was the Director and 4 staff, 26 children. LPA inspected facility for health and safety hazards.

During today's inspection, LPA performed site observations, interviews, and reviewed facility records.

During the course of this investigation, site observations were conducted on, 3/20/2023, 6/7/2023. A review of the facility records was completed, which included the Parent Handbook; Staff Records; and Children's Records. LPA conducted interview with the Director, Staff, Children and Involved Parties. (REFER TO LIC9099C FOR CONT.)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 06/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2023

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-20230314131825

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: KATHERINE MICHIELS SCHOOL (PRE-K)	FACILITY NUMBER: 380504523
	VISIT DATE: 06/07/2023

NARRATIVE

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(Page 2)
Based on evidence collected, LPA is unable to determine if staff did not ensure child's toileting needs were met. During interviews, staff reported assisting children to bathroom several times daily and when requested.

Based on evidence collected, LPA is unable to determine if staff left children in soiled clothing for an extended period of time. During interview, director stated when accidents occur, children are immediately cleaned.

Based on evidence collected, LPA is unable to determine if staff inappropriately disciplined children in care. During inspection, LPA observed staff using appropriate intervention strategies when assisting children.

Based on evidence collected, LPA is unable to determine if staff interfered with child's sleep. During record review, LPA confirmed daily quiet time/ napping session being provided for all children in care.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated.

LPA conducted exit interview with interim director, Shelby Emmerson. Complaint report explained and the Notice of Site Visit was posted during inspection.

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 06/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2023

LIC9099 (FAS) - (06/04)

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