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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384002817
Report Date: 01/31/2025
Date Signed: 01/31/2025 12:25:24 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
11/05/2024 and conducted by Evaluator Jennifer Yee
COMPLAINT CONTROL NUMBER: 05-CC-20241105093231
FACILITY NAME:LOYOLA, GISELE J.FACILITY NUMBER:
384002817
ADMINISTRATOR:LOYOLA, GISELE J.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 834-1899
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94112
CAPACITY:14CENSUS: 9DATE:
01/31/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Gisele J. LoyolaTIME COMPLETED:
12:45 PM
ALLEGATION(S):
1
2
3
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5
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7
8
9
Provider did not provide adequate supervision resulting in day care child sustaining an injury.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst LPA Yee conducted a visit to close this complaint. Two staff members and nine children were present at the facility. Gisele arrived 15 minutes into my visit. During the investigation, LPA interviewed the reporting party, the licensee, and two staff members. RP provided pictures and medical records. CCL also consulted with the medical profession.

The licensee said the child's first day was Sunday, 10/27, and attended her daycare all day. Then, the child did not show up for school for 4 days. Then came back on 11/1 for 4 hours. When the child arrived on 11/1, he had a beanie hat covering his ears. The staff did not do a health check on his head and ears. RP's medical report indicated the injury was "consistent with someone grabbing the child's ear and pulling it". However, it is unclear when and/or how the injury occurred. Based on the information obtained this complaint finding is unsubstantiated. Although the allegation may have happened or is 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 was read and explained to the facility's representative, Gisele Loyola.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2025
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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