384000892-3-13-2023-05-CC-GLEG-CRARYU-20230427132651

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 384000892
Report Date: 03/13/2023
Date Signed: 03/13/2023 02:43:54 PM

Substantiated

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
03/06/2023 and conducted by Evaluator Brendon Van

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20230306095451

FACILITY NAME:	SFUSD-TENDERLOIN COMMUNITY EARLY EDUCATION SCHOOL		FACILITY NUMBER:	384000892
ADMINISTRATOR:	BERMAN, BARBARA		FACILITY TYPE:	850
ADDRESS:	627 TURK STREET		TELEPHONE:	(415) 379-2701
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94102
CAPACITY:	54	CENSUS: 17	DATE:	03/13/2023
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Paul Lister		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

-Facility staff handle day care child in a rough manner

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On March 13, 2023, Licensing Program Analyst (LPA) Van met with the Principal, Paul Lister. Today's purpose of the inspection was to conduct an initial complaint investigation received on March 6, 2023. A lead teacher, two paraprofessionals, and personnel from SFUSD who came three times a week to teach Vietnamese lessons supervised 17 children.
LPA inspected the classroom, interviewed staff and observed the inaction between the children and staff. Based on observation, LPA noted that on two separate occasions, S1 pulled a child (C1) under their arms and pulled them to another area. In addition, the staff interviewed also corroborated the allegation.
See next page for deficiency cited under California Code of Regulations, Title 22. This facility must provide a copy of this report to the parents/ guardians of children currently enrolled and parents of newly enrolled children during the next 12 months. A signed and dated LIC 9224 (Acknowledgment of Receipt of Licensing Reports) shall be maintained in all Children's files. Today's report was read and signed by the Principal. A complaint report, a notice of site visit, deficiency, and appeal rights were printed and provided to the Principal.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 3

Control Number 05-CC-20230306095451

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: SFUSD-TENDERLOIN COMMUNITY EARLY EDUCATION SCHOOL	FACILITY NUMBER: 384000892
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/13/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 03/14/2023 Section Cited CCR 101223(a)(3)	1 2 3 4 5 6 7	101223 Personal Rights. (a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat...aids to physical functioning.	1 2 3 4 5 6 7	The Center shall ensure that no child's personal rights will be violated. All staff will require in-depth training on Personal Rights and handling difficult children. Proof of completion of training and attendance will be submitted to Licensing.
	8 9 10 11 12 13 14	This requirement was not met, as evidenced by observation and interviews. LPA observed on two separate occasions that S1 pulled a child (C1) under their arms and pulled them to another area. In addition, the information obtained from the staff interviewed also corroborates the allegation. This poses a potential health and safety risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 3