384002433-11-5-2021-05-CC-GLEG-C8M2BF-20211109161500

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 384002433
Report Date: 11/05/2021
Date Signed: 11/05/2021 12:30:16 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
06/11/2021 and conducted by Evaluator Sheran Lo

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20210611152727

FACILITY NAME:	WU YEE CHILDREN'S SERVICES- BAYVIEW CDC		FACILITY NUMBER:	384002433
ADMINISTRATOR:	HARRIS-TOBIAS, BONNIE		FACILITY TYPE:	850
ADDRESS:	1601 LANE STREET		TELEPHONE:	(415) 655-9567
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94124
CAPACITY:	32	CENSUS: 11	DATE:	11/05/2021
		UNANNOUNCED	TIME BEGAN:	08:23 AM
MET WITH:	Bonnie Harris-Tobias		TIME COMPLETED:	09:39 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff Member caused injury to child

INVESTIGATION FINDINGS:

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

On 11/5/2021, Licensing Program Analyst (LPA) Sheran Lo met with Center Manager Bonnie Harris-Tobias for this conclusionary complaint visit. Initial complaint investigation was conducted on 6/14/2021. Information was gathered in regard to allegations including both staff and children’s rosters/schedules and supplemental information obtained by our Investigations Branch (IB) relevant to allegations. Present were 5 staff and 11 children.

Based on the Investigations Branch (IB) findings, there was no sufficient evidence to prove the facility staff member caused injury to child. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is Unsubstantiated.

LPA conducted exit interview with Manager. Report and Notice of Site Visit will be emailed to bonnie.harris-tobias@wuyee.org by the end of business day. Notice of Site Visit shall be posted for 30 consecutive days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Sheran Lo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2021

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