384002530-9-26-2023-05-CC-DJOO-CW5VBY-20230929161819

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 384002530
Report Date: 09/26/2023
Date Signed: 09/26/2023 02:48:34 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 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
08/03/2023 and conducted by Evaluator Sheran Lo

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20230803090118

FACILITY NAME:	WU YEE CHILDREN'S SERVICES - KIRKWOOD CCC (INF)		FACILITY NUMBER:	384002530
ADMINISTRATOR:	TAYLOR, RAVELLE		FACILITY TYPE:	830
ADDRESS:	729 KIRKWOOD AVENUE		TELEPHONE:	(415) 822-5505
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94124
CAPACITY:	22	CENSUS: 7	DATE:	09/26/2023
		UNANNOUNCED	TIME BEGAN:	01:38 PM
MET WITH:	Ravelle Taylor		TIME COMPLETED:	02:24 PM

ALLEGATION(S):

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-Due to lack of supervision, child was able to leave the playground without staff knowledge
-Staff do not change children's diapers timely

INVESTIGATION FINDINGS:

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On September 26, 2023, Licensing Program Analyst (LPA), Sheran Lo conducted a subsequent complaint inspection and met with Director Ravelle Taylor to discuss the above allegation. Purpose of the inspection was explained. Present is Director, 4 staff with 7 children in care.

During the course of the investigation, interviews were conducted with Director, staff, and relevant documents, there was no sufficient evidence to prove the facility had no knowledge of child leaving playground and do not change diapers timely. 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.

Exit Interview was conducted with Director Ravelle Taylor. Report and Notice of Site Visit was provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Sheran Lo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2023

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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