384004021-4-25-2023-05-CC-GLEG-CRJ354-20230504175606

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 384004021
Report Date: 04/25/2023
Date Signed: 04/25/2023 01:52:45 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
02/07/2023 and conducted by Evaluator Brendon Van

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20230207142907

FACILITY NAME:	CREATIVE MONTESSORI PRESCHOOL		FACILITY NUMBER:	384004021
ADMINISTRATOR:	YANG, YANG		FACILITY TYPE:	850
ADDRESS:	3101 VICENTE STREET		TELEPHONE:	(415) 661-2828
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94116
CAPACITY:	52	CENSUS: 51	DATE:	04/25/2023
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Nicole Olsen & Mary Chan		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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-Staff did not perform hand hygiene.
-Staff threaten the daycare children while in care
-Staff did not provide adequate supervision to the daycare children
-Staff limited the outdoor activity space for the daycare children
-Staff limited activities for the daycare children while in care

INVESTIGATION FINDINGS:

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Licensing program analyst (LPA) Van conducted a subsequent complaint inspection visit to deliver findings in conjunction with a random annual inspection. LPA met with Senior Directors Nicole Olsen and Mary Chan, explaining the inspection's purpose. During the inspection, LPA inspected the Center for any health & safety concerns and made classroom observations. Today, nine staff, including the two Directors, supervised 51 children.
As part of the investigation, LPA interviewed Directors, teachers, and children attending the Center and reviewed all pertinent documents. Based on the information obtained, there was insufficient evidence to prove or support any of the above allegations. The Department has investigated the above allegations. 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 allegations are Unsubstantiated.
An exit inspection was conducted with the Directors. A copy of the report and notice of the site visit was provided to the Directors. LPA informed the Directors that the site visit notice must be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 04/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2023

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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