384002512-11-15-2022-05-CC-AZEA-CLQPZR-20221202104559

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 384002512
Report Date: 11/15/2022
Date Signed: 11/15/2022 10:34:53 AM

Unsubstantiated

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
09/19/2022 and conducted by Evaluator Jennifer Yee

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20220919161052

FACILITY NAME:	WU YEE CHILDREN'S SERVICES-CADILLAC CENTER (PS)		FACILITY NUMBER:	384002512
ADMINISTRATOR:	JOSHUA JACKSON		FACILITY TYPE:	850
ADDRESS:	316 LEAVENWORTH STREET		TELEPHONE:	(415) 409-3101
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94102
CAPACITY:	40	CENSUS: 15	DATE:	11/15/2022
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Shelly Poe		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

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Staff speak inappropriately in the presence of children in care
Staff yell at children in care
Staff force children to nap

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Yee conducted a visit to deliver this complaint. The purpose of the inspection was explained. During the course of the investigation, LPA interviewed 5 staff members, reporting party, and 2 children. As part of this investigation, the Facility Roster was collected.

This agency has completed the above allegations. Based on the information obtained, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

This report must be available in the facility for public review.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer Yee	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 11/15/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2022

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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