380506430-9-12-2022-05-CC-CINO-CJJP6Q-20220923110244

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 380506430
Report Date: 09/12/2022
Date Signed: 09/12/2022 01:55:42 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
07/07/2022 and conducted by Evaluator Catrina Quimbo

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20220707091225

FACILITY NAME:	ST. PAUL'S CHURCH-LITTLEST ANGEL PREPARATORY PRESC		FACILITY NUMBER:	380506430
ADMINISTRATOR:	BALUYUT, MA CONCEPCION		FACILITY TYPE:	850
ADDRESS:	221 VALLEY STREET, ROOM X		TELEPHONE:	(415) 824-5437
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94131
CAPACITY:	38	CENSUS: 18	DATE:	09/12/2022
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Concepcion "Tina" Baluyut		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff do not properly supervise day care children.
Daycare children hit another daycare child.
Facility is operating out of ratio.
Unqualified staff working with daycare children.
Staff do not report incidents to appropriate parties.

INVESTIGATION FINDINGS:

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On September 12, 2022 at approximately 8:30am, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, complaint visit to St. Paul's Church-Littlest Angel Preparatory Preschool regarding above allegations. LPA met with director, Concepcion "Tina" Baluyut, and explained the purpose of the inspection.

Present during inspection included 18 children (preschool age) and 5 staff members (including director). As part of this complaint investigation, LPA conducted facility observations, interviews with random selection of teaching staff, and reviewed records and documents.

During facility observations, LPA observed staff to be properly supervising day care children. Random selection of staff interviewed stated children are properly supervised. On date's of LPA's visits on 7/13/2022 and 9/12/2022, facility was operating within capacity limits and ratio. During record review, LPA observed staff working in classrooms to be fully qualified with required certification and/or required ECE units.

(Continue on 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2022

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-20220707091225

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: ST. PAUL'S CHURCH-LITTLEST ANGEL PREPARATORY PRESC	FACILITY NUMBER: 380506430
	VISIT DATE: 09/12/2022

NARRATIVE

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(Continued, Page 2...)

Random selection of staff interviews that were conducted, stated protocol of an incident involving a child requires director to be informed. Per staff interviewed, staff or director will directly inform children's authorized representatives of incidents that involve their own children.

Depending on the severity of incident, verbal or written notifications are provided to children's authorized representatives and/or parent teacher conferences are conducted. Staff are aware if an enrolled child's behavior or actions harm another enrolled child, child's authorized representatives are informed by way of above. Staff interviewed stated children are in an overall, safe environment at facility.

Although the above allegation may have happened or is valid, based on LPA’s observations, interviews and record review which were conducted, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with director, Concepcion "Tina" Baluyut.

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2022

LIC9099 (FAS) - (06/04)

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