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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384004021
Report Date: 02/17/2023
Date Signed: 02/17/2023 11:14:38 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PENINSULA 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
12/15/2022 and conducted by Evaluator Brendon Van
COMPLAINT CONTROL NUMBER: 05-CC-20221215095733

FACILITY NAME:CREATIVE MONTESSORI PRESCHOOLFACILITY NUMBER:
384004021
ADMINISTRATOR:YANG, YANGFACILITY TYPE:
850
ADDRESS:3101 VICENTE STREETTELEPHONE:
(415) 661-2828
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94116
CAPACITY:52CENSUS: 37DATE:
02/17/2023
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Nicole Olsen and Mary TanTIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
3
4
5
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7
8
9
-Facility operates out of ratio
-Staff threaten daycare children
-Staff yells at daycare children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing program analyst (LPA) Van conducted a subsequent complaint inspection visit to deliver findings to the above allegations. LPA met with Senior Directors Nicole Olsen and Mary Tan, explaining the inspection's purpose. During the inspection, LPA inspected the Center for any health & safety concerns and made classroom observations. Today, 9 teachers, including the Directors, supervised 37 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 that the staff threatened and yelled at the children. Regarding the facility operating out of ratio, the morning signed-in and out records revealed that the Center had a sufficient teacher-to-children ratio in each classroom during the morning drop-off period.
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 LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon VanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 02/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2023
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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