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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384002454
Report Date: 05/27/2022
Date Signed: 05/27/2022 12:25:41 PM

Substantiated


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
05/17/2022 and conducted by Evaluator Brendon Van
COMPLAINT CONTROL NUMBER: 05-CC-20220517092657
FACILITY NAME:GROWING TREE SCHOOL LLC, THE (PS)FACILITY NUMBER:
384002454
ADMINISTRATOR:LUI, HOI YEEFACILITY TYPE:
850
ADDRESS:1984 GREAT HIGHWAYTELEPHONE:
(415) 682-8889
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94116
CAPACITY:73CENSUS: 42DATE:
05/27/2022
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Maggie Poon and Hoi Yee LuiTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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-Lack of Supervision

INVESTIGATION FINDINGS:
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On May 27, 2022, Licensing Program Analysts (LPA) Van met with the Licensee, Maggie Poon, the Director, Hoi Yee Lui, arrived a moment later. The inspection today was to conduct an initial complaint investigation that was received on 5/17/2022. This is a combination Center, the Preschool program operation on the second level and the Infants operation on the first floor. Today, there was eight staff supervising 42 preschool children.

LPA and the Director toured the Preschool program areas for health and safety hazards. LPA noticed two groups of preschool children were transitioning to outdoor play. During the physical plant inspection, LPA observed child (C1) washing their hand inside the bathroom without any supervision. The bathroom was adjacent to the classroom and away from the view of the teachers. LPA informed the Director, to which the Director went to the classroom and informed the teacher. The teacher appeared startled and went with the Director to the bathroom and took the child back into the classroom.

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon VanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2022
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 4
Control Number 05-CC-20220517092657
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: GROWING TREE SCHOOL LLC, THE (PS)
FACILITY NUMBER: 384002454
VISIT DATE: 05/27/2022
NARRATIVE
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This is an amended report...

Based on LPA's observation, Although there were two teachers in the classroom, C1 went to the bathroom alone. Although there was sufficient staff on today's inspection, the incident involving the C1 washing hand in the bathroom alone was not supervised by staff resulting in a lack of supervision.

The preponderance of evidence standard has been met. Therefore, the allegation that the facility lacks supervision has been determined SUBSTANTIATED. The following Title 22 deficiency is cited on the following page. An exit interview was conducted; Plans of corrections were reviewed and developed with the Director and owner. Appeal Rights were provided and discussed with the Director. Reports citing Type A violations are to be provided to parents/guardians of children currently enrolled and to parents/guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must sign Form LIC9224 to be kept in each child's file. LPA informed the Director that the site visit notice, Type A report, and Deficiency report must be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Today's report, 5/27/2022, will be sent to the Director by email at the close of business. Confirmation of receipt is required.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon VanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 4
Control Number 05-CC-20220517092657
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: GROWING TREE SCHOOL LLC, THE (PS)
FACILITY NUMBER: 384002454
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/27/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/31/2022
Section Cited
CCR
101229(a)(1)
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This is an amended report..

101229(a)(1) Care and Supervision. No child(ren) shall be left without the supervision, including visual observation, of a teacher at any time except as specified in sections 101216.2(e)(1) and 101230(c)(1).
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The Director planned to have a mandatory staff meeting, and the plan included Supervision policies and procedures. Staff involved in the incident will receive additional training. Director states the training materials and staff attendance will be sent to Licensing by May 31, 2022.
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This requirement was not met, as evidenced by observation. During the physical plant inspection, LPA observed C1 was alone in the bathroom washing hands without any staff escorting the child. This poses an immediate health and safety risk to children in care.
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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 LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon VanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 4