384001625-1-5-2021-05-CC-GLEG-BX43TH-20210108173155

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 384001625
Report Date: 01/05/2021
Date Signed: 01/05/2021 01:58:22 PM

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
10/14/2020 and conducted by Evaluator Luis Gomez

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20201014104927

FACILITY NAME:	CENTRO LAS OLAS		FACILITY NUMBER:	384001625
ADMINISTRATOR:	ELIZABETH QUINN		FACILITY TYPE:	850
ADDRESS:	3737 26TH STREET		TELEPHONE:	(415) 821-6527
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94110
CAPACITY:	16	CENSUS: 7	DATE:	01/05/2021
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Elizabeth Quinn		TIME COMPLETED:	11:35 AM

ALLEGATION(S):

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Staff left children unattended.

INVESTIGATION FINDINGS:

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

On 1/5/2020 at 11:00 A.M., Licensing Program Analyst (LPA), Luis J. Gomez met with director, Elizabeth Quinn, for a complaint investigation of the above allegation. Purpose of the inspection was explained. Present is the director, one parent and two staff supervising 7 children. All children present are preschool age.

During today's inspection, LPA interviewed the site director and performed observations.

As part of this investigation, LPA conducted an inspection of the facility on 1/5/2020. A review of the facility records was also completed, which include the Personnel Report, Parent Roster, Children's Roster, Sign-in Sheet and Program Handbook. As part of this complaint investigation interviews were conducted the site director, parents and day-care personnel.

(Continuation on page 9099-C)

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: 01/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2021

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 2

Control Number 05-CC-20201014104927

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: CENTRO LAS OLAS	FACILITY NUMBER: 384001625
	VISIT DATE: 01/05/2021

NARRATIVE

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(Page 2)
Regarding the allegation of staff left children unattended. Based on interviews with the director, staff and parents, LPA is unable to determine if staff left the children unattended. During interviews conducted, director stated day-care children are properly supervised by staff at all times.

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 licensee. No deficiencies are cited.

Exit interview was conducted with the director.

Signed copy of this 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: 01/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2021

LIC9099 (FAS) - (06/04)

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