384002200-2-20-2020-05-CC-GLEG-BM5UM9-20200225144157

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 384002200
Report Date: 02/20/2020
Date Signed: 02/20/2020 11:32:40 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
12/02/2019 and conducted by Evaluator Adam Rodriguez

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20191202094631

FACILITY NAME:	FACESSF - BAYVIEW SCHOOL AGE		FACILITY NUMBER:	384002200
ADMINISTRATOR:	BRUNER, DARLICIA		FACILITY TYPE:	840
ADDRESS:	100 WHITNEY YOUNG CIRCLE		TELEPHONE:	(415) 821-7550
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94124
CAPACITY:	90	CENSUS: 0	DATE:	02/20/2020
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Kim Wong and Juan Pazmino		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Lack of Supervision:
-Facility staff are not adequately supervising children in care

Other:
-Facility staff failed to inform day care child's parent of incident in a timely manner
-Facility is retaliating against day care child for filing a complaint

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Rodriguez arrived at the facility unannounced to close the investigation into the above allegations and met with Kim Wong and Juan Pazmino. During the investigation, LPA interviewed staff and witnesses regarding the above allegations. Per LPA interviews, an incident did occur on 11/21/2019 at the facility involving a few students in the after school program. This incident was reported the facility on 11/25/2019, who subsequently cross reported the incident to licensing department on the same day. Parents of the students were notified of the incident at the next available date. In addition, LPA Rodriguez's interviews with staff did not produce a disclosure that there was a lack of supervision or a disclosure of retaliation towards a day care family by FacesSF.

There have been conflicting statements made from all parties about the above allegations; such LPA is unable to determine whether or not the allegations actually occurred.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore, the allegations are closed as unsubstantiated. A printed copy of the report as well as the notice of site visit was provided to Kim Wong and Juan Pazmino.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Adam Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2020

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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