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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 380505568
Report Date: 08/17/2023
Date Signed: 08/17/2023 01:23:31 PM

Unsubstantiated


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
05/25/2023 and conducted by Evaluator Luis Gomez
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20230525162430
FACILITY NAME:FAMILY DEVELOPMENTAL CENTER (PRESCHOOL)FACILITY NUMBER:
380505568
ADMINISTRATOR:QUIROZ, YOHANAFACILITY TYPE:
850
ADDRESS:2730 BRYANT STREETTELEPHONE:
(415) 282-1090
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY:83CENSUS: 63DATE:
08/17/2023
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Dee LeeTIME COMPLETED:
01:25 PM
ALLEGATION(S):
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Staff did not adequately supervise children resulting in an altercation between children in care.
Staff spoke inappropriately to children in care.
Staff handled child in a rough manner.
INVESTIGATION FINDINGS:
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On 8/17/2023 at 8:50AM., Licensing Program Analyst (LPA) Luis J. Gomez met with Administrative Director, Dee Lee. Purpose of the inspection was explained and was for an Unannounced, Complaint Investigation. Present was the Administrative Director and 17 staff supervising for 63 children. LPA inspected facility for health and safety hazards.

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

During the course of this investigation observations were conducted on 5/31/2023, 7/26/2023, and 8/17/2023. A review of the facility records was complete, which included the staff records, children records, and incident report log. LPA conducted interviews Administrative Director, Staff, Children and Involved Parties. (REFER TO LIC9099C, FOR CONT.)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2023
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-20230525162430
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: FAMILY DEVELOPMENTAL CENTER (PRESCHOOL)
FACILITY NUMBER: 380505568
VISIT DATE: 08/17/2023
NARRATIVE
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(Page 2)
Regarding allegation of staff spoke inappropriately to children in care; Based on evidence collected, LPA was unable to determine if allegation made is valid. During interviews, it was reported staff use proper tones and word choice when speaking to day-care children.

Regarding allegation of staff handled child in a rough manner; Based on evidence collected, LPA was unable to determine if allegation made is valid. During inspection, LPA observed staff using appropriate intervention when assisting day-care children.

Regarding allegation of staff did not adequately supervise children resulting in an altercation between children in care; Based on evidence collected, LPA was unable to determine if allegation made is valid. During inspections, LPA observed classrooms operating within proper Teacher-Child ratio.

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 Administrative Director, Dee Lee, Complaint report explained, and the Notice of Site Visit was posted during inspection.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2