380504635-9-19-2022-05-CC-GLEG-CJJTF8-20220923144105

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 380504635
Report Date: 09/07/2022
Date Signed: 09/19/2022 10:37:03 AM

Unsubstantiated

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
07/06/2022 and conducted by Evaluator Cindy Mok

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20220706104611

FACILITY NAME:	KWONG, KAM MING		FACILITY NUMBER:	380504635
ADMINISTRATOR:	KWONG, KAM MING		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(415) 387-7187
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94121
CAPACITY:	12	CENSUS: 3	DATE:	09/07/2022
		UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Kam Ming Kwong		TIME COMPLETED:	10:20 AM

ALLEGATION(S):

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Adults yelled in front of the day care children that caused the children cried in the house.

Facility was not being kept free of rodents

INVESTIGATION FINDINGS:

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AMENDED

Licensing Program Analyst (LPA) Mok conducted an unannounced inspection to finalized this complant today. LPA met with the licensee. The purpose of the inspection was explained to her. There were 3 children that included an infant present.

Based on the interviews LPA conducted, there was no sufficient evidence to prove the adults yelled in front of the of day care children that caused the children cried in the house, and facility was not being kept free of rodents.

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

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy Mok	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 09/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022

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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