380505800-5-19-2022-05-CC-CINO-CGBUXP-20220714155840

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 380505800
Report Date: 05/19/2022
Date Signed: 05/19/2022 01:50:57 PM

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
05/17/2022 and conducted by Evaluator Luis Gomez

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20220517150419

FACILITY NAME:	SFUSD-BRYANT EARLY EDUCATION SCHOOL		FACILITY NUMBER:	380505800
ADMINISTRATOR:	VELASCO, CHRISTINA		FACILITY TYPE:	850
ADDRESS:	2641- 25TH STREET		TELEPHONE:	(415) 695-5838
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94110
CAPACITY:	69	CENSUS: 36	DATE:	05/19/2022
		UNANNOUNCED	TIME BEGAN:	09:05 AM
MET WITH:	Raul Erazo-Chavez		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Child sustained an unexplained injury while in care.
Staff did not provide adequate supervision.

INVESTIGATION FINDINGS:

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On 5/19/2022 at 9:05A.M., Licensing Program Analyst (LPA) Luis J. Gomez met with Executive Director of School and Programs, Raul Erazo-Chavez. Purpose of the inspection was explained and was for unannounced complaint investigation. Present was the Executive Director of School and Programs and 9 staff supervising 36 children. LPA inspected facility, inside and outside, for health and safety hazards.

During inspection, LPA performed site observations, interviewed staff, administrator and reviewed the facility records. At 10:19A.M., Based on observations, LPA confirmed accessible hazardous plant located in outdoor play area. During inspection Advisory Note: Technical Assistance (LIC9102) was issued.

During the course of the investigation, site observations were conducted on 5/19/2022. A review of the facility records was also complete, which included the children’s files, staff files, children’s roster and family handbook. LPA conducted interviews with the Executive Director of School and Programs, classroom staff, children and all involved parties. (REFER TO LIC9099C, FOR CONT.)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2022

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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Control Number 05-CC-20220517150419

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: SFUSD-BRYANT EARLY EDUCATION SCHOOL	FACILITY NUMBER: 380505800
	VISIT DATE: 05/19/2022

NARRATIVE

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Regarding the allegation of child sustained unexplained injury while in care; Based on interviews and evidence collected, LPA was unable to determine injury sustained by day-care child occurred while in care. During interviews, it was reported that when child injuries occur, first aid is applied child’s authorized representative are immediately informed.

Regarding allegation of staff did not provide adequate supervision; Based on interviews, observations and record review, LPA was unable to determine if staff did not provide adequate supervision. During inspection, LPA observed classroom staff providing constant supervision within proper Teacher- Child ratio.

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

LPA conducted exit interview with the Executive Director of School and Programs. Report was explained and Notice of Site Visit was posted during inspection.

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2022

LIC9099 (FAS) - (06/04)

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