384002727-6-5-2019-05-CC-GLEG-BDGVC4-20190625161831

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 384002727
Report Date: 06/05/2019
Date Signed: 06/05/2019 11:23:18 AM

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
05/29/2019 and conducted by Evaluator Gagandeep Singh

COMPLAINT CONTROL NUMBER: 05-CC-20190529085305

FACILITY NAME:	MARTIN LUTHER KING JR. CENTER		FACILITY NUMBER:	384002727
ADMINISTRATOR:	STANCIL, MADONNA		FACILITY TYPE:	850
ADDRESS:	200 CASHMERE STREET		TELEPHONE:	(415) 401-1377
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94124
CAPACITY:	38	CENSUS: 27	DATE:	06/05/2019
		UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Angela Williams		TIME COMPLETED:	11:20 AM

ALLEGATION(S):

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Facility staff failed to prevent daycare child from being teased by other children.
Facility staff yelled at daycare child.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Singh met with the teacher, Angela Williams, for the investigation of the above allegation. Purpose of the inspection was explained.

During the inspection, LPA inspected the facility, interviewed the staff members and interviewed the children. During the interviews, it was found that when any teacher observed any child with inappropriate behavior, the teachers talk to the child and resolve the issue. All interviewed children stated that the teachers do not yell or do not use inappropriate voices.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated.
Copy of this report is reviewed and provided to the teacher, Angela Williams. Notice of site visit is posted and shall remain posted for next 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Gagandeep Singh	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 06/05/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2019

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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