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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384001835
Report Date: 09/25/2019
Date Signed: 09/25/2019 10:57:20 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:SOUTHEAST FAMILIES UNITED/CHILDREN'S CENTERFACILITY NUMBER:
384001835
ADMINISTRATOR:EUGENIA JAMESFACILITY TYPE:
830
ADDRESS:1337 EVANS AVENUETELEPHONE:
(415) 920-7000
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94124
CAPACITY:20CENSUS: 20DATE:
09/25/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Eugenia JamesTIME COMPLETED:
10:15 AM
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Licence Program Analysta (LPAs) Kaur and singh met the directo,r Eugenia James, for case management inspection of an incident. Purpose of inspection was explained.

The facility self reported the incident of parent alleging one of the teacher handling the child inappropriately. During todays inspection, LPAs interview the director. Director stated according to the mother of the child there were marks on the child found in November 2018. Per director, the meeting was held with facility management and mother of the child The mother didn't know if the marks occur at home or at the facility. On September 4 2019, the mother informed the facility that she filed the police report against the teacher. Per director, the facility had a meeting with the mother and management. Per director, police didn't investigate the incident .Per director, the child has been transferred to different room. The facility interviewed each staff in the classroom and submitted the statements to department. Based on the statements and facility investigations, there is no evidence found that the marks occurred at the facility.

No violation of regulations were observed. Copy of this report reviewed and provided to the director. Copy of notice of site visit was posted and shall remain posted for 30 days.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Harsimran KaurTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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