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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 380506367
Report Date: 11/21/2024
Date Signed: 11/21/2024 11:22:05 AM

Substantiated


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
11/18/2024 and conducted by Evaluator Janet Gil
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20241118125720
FACILITY NAME:SFUSD-THERESA S. MAHLER (EES) PRESCHOOLFACILITY NUMBER:
380506367
ADMINISTRATOR:COOK, CAROLYNEFACILITY TYPE:
850
ADDRESS:990 CHURCH STREETTELEPHONE:
(415) 695-5871
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94114
CAPACITY:80CENSUS: 41DATE:
11/21/2024
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:David HollandsTIME COMPLETED:
11:50 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff left day care child locked in a classroom for an extended period of time.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On November 21st, 2024, at approximatly 10:15 AM, Licensing Program Analyst (LPA) Janet Gil met with the substitute Priciple, David Hollands. Today’s purpose of the inspection was to close the complaint that the Department received on November 18th, 2024. Present during inspection included 41 enrolled children and 11 staff (including director and office staff). LPA inspected the classrooms indoors and the outdoor area.
As part of the investigation, facility physical files were reviewed, including recent unusual incident report the Center reported. The facility self reported an incident that occurred on October 8th, 2024 in classroom #1. The incident involved lack of supervision that resulted in a child being left unsupervised inside of the classroom. Per interview and record review of incident received, a child was left alone inside a classroom for an extended period of time. Per director, the staff failed to the do headcount resulting in a child being left alone in the classroom napping while all three staff left to supervise other children for outdoor play time for approximatly 30 minutes.
The Department investigated the incident and completed it. As a result, the Center was cited in a case management report on October 21st, 2024.
Based on interviews and records reviewed, the allegation related to the incident the Department had investigated during the case management on October 21st. Therefore, the preponderance of evidence standard has been met, and the above allegation is found to be SUBSTANTIATED.

The exit interview was conducted, and the report was reviewed with the substitute Site Principle, David Hollands.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Janet GilTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2024
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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