384002718-11-21-2022-05-CC-CINO-CLVW2J-20221207155422

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 384002718
Report Date: 11/21/2022
Date Signed: 11/21/2022 03:50:22 PM

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
09/07/2022 and conducted by Evaluator Luis Gomez

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20220907161238

FACILITY NAME:	MISSION NEIGHBORHOOD CTRS, INC. CENTRO DE ALEGRIA		FACILITY NUMBER:	384002718
ADMINISTRATOR:	NARVAEZ, AMADA		FACILITY TYPE:	850
ADDRESS:	1245 ALABAMA STREET		TELEPHONE:	(415) 285-9662
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94110
CAPACITY:	55	CENSUS: 21	DATE:	11/21/2022
		UNANNOUNCED	TIME BEGAN:	12:40 PM
MET WITH:	Amada Navarez		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Staff did not report injury to authorized representative.
Staff caused injury to day care child.

INVESTIGATION FINDINGS:

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On 11/21/2022 at 12:40PM., Licensing Program Analyst (LPA) Luis J. Gomez met with Director, Amada Navarez. Purpose of inspection was explained and was for unannounced; complaint investigation. Present was director and six staff supervising 21 children. All children present are preschool age. Staff had criminal record clearances on file. LPA inspected facility with director for health and safety hazards.

During today's inspection, LPA performed observations, interviewed staff and reviewed facility records.

During the course of the investigation, site observations were conducted on 9/15/2022 and 11/21/2022. A review of the facility records was completed, which included the children’s files; staff files; parent rosters' and handbook. LPA conducted interviews with director, staff and involved parties.
(REFER TO LIC9099C FOR CONT.)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 11/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2022

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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Control Number 05-CC-20220907161238

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: MISSION NEIGHBORHOOD CTRS, INC. CENTRO DE ALEGRIA	FACILITY NUMBER: 384002718
	VISIT DATE: 11/21/2022

NARRATIVE

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(Page 2)
Regarding allegation of staff caused injury to day-care child; Based on evidence collected, LPA is unable to determine if staff caused injury to day-care child. Family handbooks states, day-care children are treated respectfully by staff, with positive social environment and appropriate accommodations.

Regarding allegation of staff did not report injury to authorized representative; Based on evidence collected, LPA is unable to determine if staff did not report injury to authorized representative. During interviews, director stated injuries are treated immediately by staff, and parent is informed.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is Unsubstantiated.

LPA conducted exit interview with director. Appeal Rights were explained and the Notice of Site Visit was posted during inspection.

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 11/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2022

LIC9099 (FAS) - (06/04)

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