384000867-12-11-2020-05-CC-GLEG-BWC2LE-20201215162926

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 384000867
Report Date: 12/11/2020
Date Signed: 12/11/2020 11:24:46 AM

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
10/01/2020 and conducted by Evaluator Luis Gomez

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20201001143831

FACILITY NAME:	MISSION HEAD START-WOMEN'S BUILDING CENTER		FACILITY NUMBER:	384000867
ADMINISTRATOR:	REYES, CINDY		FACILITY TYPE:	850
ADDRESS:	3543 18TH STREET		TELEPHONE:	(415) 701-1995
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94110
CAPACITY:	23	CENSUS: 9	DATE:	12/11/2020
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Director, Theresa Sanchez- Perez		TIME COMPLETED:	09:30 AM

ALLEGATION(S):

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Facility staff hit child
Facility staff spoke inappropriately to child

INVESTIGATION FINDINGS:

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THE FOLLOWING INSPECTION WAS CONDUCTED VIA TELE-INSPECTION DUE TO THE COVID-19 HEALTH EMERGENCY.

On 12/11/2020 at 9:17A.M., LPA Luis J. Gomez met with site director Theresa Sanchez-Perez. Purpose of the inspection was explained and is for a complaint investigation for the above allegations. Per director, present in the facility is herself and three staff caring for nine children. All children present are preschool age. LPA inspected facility with director for health and safety hazards.

During today's inspection LPA interview staff, children and performed classroom observations.

During the course of the investigations, LPA conducted observations on, 12/11/2020. A facility record review was also completed, which includes the staff roster, children’s roster and parent handbook. As part of the investigation, LPA interviewed site director, facility staff, children and a sample of parents.

(Continuation on page 2)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2020

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-20201001143831

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: MISSION HEAD START-WOMEN'S BUILDING CENTER	FACILITY NUMBER: 384000867
	VISIT DATE: 12/11/2020

NARRATIVE

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(Page 2)

Regarding the allegation of facility staff hit child. Based on interviews conducted with the director, staff, children and involved parties, LPA is unable to determine if facility staff hit day-care child. During interviews conducted, classroom personnel stated they only use appropriate intervention methods when assisting children with behavioral needs.

Regarding the allegation of facility staff spoke inappropriately to child. Based on interviews conducted with staff and involved parties, LPA is unable to determine if staff spoke inappropriately to day-care child. Program handbook states, staff will communicate to children in a positive and age-appropriate manner.

Although the allegation(s) may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is Unsubstantiated. Copy of this report will be mailed to the site director. No deficiencies are cited.

Exit interview was conducted with director, Theresa Sanchez- Perez.

Signed copy of report will be stored in facility file.

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2020

LIC9099 (FAS) - (06/04)

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