380505833-3-23-2023-05-CC-AZEA-CQKT24-20230404142007

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 380505833
Report Date: 03/23/2023
Date Signed: 03/23/2023 11:20:45 AM

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
01/06/2023 and conducted by Evaluator Jennifer Yee

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20230106143129

FACILITY NAME:	MISSION CHILDCARE CONSORTIUM, INC.		FACILITY NUMBER:	380505833
ADMINISTRATOR:	SANTANA, MELANIE		FACILITY TYPE:	850
ADDRESS:	4750 MISSION STREET		TELEPHONE:	(415) 586-6139
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94112
CAPACITY:	224	CENSUS: 124	DATE:	03/23/2023
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Patricia Hamilton		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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PERSONAL RIGHTS: Daycare child sustained unexplained injuries while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst, LPA Yee conducted a visit to finalize this complaint. The purpose of the inspection was explained. There are 124 children and 19 staff members present today.

During the investigation, LPA interviewed reporting party, 4 staff members, the child, and reviewed video footage that was provided by the facility. Based on the available information gathered, it is unclear how the child sustained unexplained injuries. Therefore, the complaint is found to be unsubstantiated.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer Yee	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2023

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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