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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384004173
Report Date: 08/30/2023
Date Signed: 08/30/2023 04:33:43 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
08/02/2023 and conducted by Evaluator Hanson Leong
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20230802114000
FACILITY NAME:SHINING STAR BILINGUAL MONTESSORIFACILITY NUMBER:
384004173
ADMINISTRATOR:LUO, QUN XINGFACILITY TYPE:
850
ADDRESS:610 20TH STREETTELEPHONE:
(415) 881-1883
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94107
CAPACITY:44CENSUS: 9DATE:
08/30/2023
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Quo Xing LuoTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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9
Staff did not properly supervise children resulting in a child injuring another child.
INVESTIGATION FINDINGS:
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On 8/30/2023, Licensing Program Analysts (LPA) Leong and Van, made an unannounced conclusionary complaint visit to the child daycare facility listed above. The LPAs were granted entry by the Director, Quo Xing Luo. The LPA explained the purpose of the visit to the Director. All the individuals listed on the facility’s roster have been granted permission to work or be present in a childcare facility. The LPAs observed two staff members supervising two infants and seven preschool aged children. Children's capacity and ratio requirements were observed to be in compliance

All relevant information was gathered and analyzed during the LPA investigation, and all parties involved were contacted and interviewed. Based on information obtained from the LPA investigation, the allegation, staff did not properly supervise children resulting in a child injuring another child, may have happened or are valid, there is not a preponderance of evidence to prove the violation did or did not occur, therefore, the above allegation is found to be unsubstantiated.

A copy of today’s report and the Notice of Site Visit were given to Qun Xing Luo. “The Notice of Site Visit shall be posted for 30 days. Failure to maintain postings as required, will result in an immediate $100 civil penalty. Exit interview conducted and report was reviewed with Qun Xing Luo
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
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
08/02/2023 and conducted by Evaluator Hanson Leong
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20230802114000

FACILITY NAME:SHINING STAR BILINGUAL MONTESSORIFACILITY NUMBER:
384004173
ADMINISTRATOR:LUO, QUN XINGFACILITY TYPE:
850
ADDRESS:610 20TH STREETTELEPHONE:
(415) 881-1883
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94107
CAPACITY:44CENSUS: 9DATE:
08/30/2023
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Quo Xing LuoTIME COMPLETED:
04:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not make prompt arrangements for obtaining medical treatment for child.
INVESTIGATION FINDINGS:
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3
4
5
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7
8
9
10
11
12
13
On 8/30/2023, Licensing Program Analysts (LPA) Leong and Van, made an unannounced conclusionary complaint visit to the child daycare facility listed above. The LPAs were granted entry by the Director, Quo Xing Luo. The LPA explained the purpose of the visit to the Director. All the individuals listed on the facility’s roster have been granted permission to work or be present in a childcare facility. The LPAs observed two staff members supervising two infants and seven preschool aged children. Children's capacity and ratio requirements were observed to be in compliance

All relevant information was gathered and analyzed during the LPA investigation, and all parties involved were contacted and interviewed. Based on information obtained from the LPA investigation, the preponderance of evidence standard has been met, therefore the allegation, staff did not make prompt arrangements for obtaining medical treatment for child, is found to be substantiated.

Please reference LIC 809D for today's citation.

A copy of today’s report, the “Notice of Site Visit,” and their appeal rights were given to Qun Xing Luo. The "Notice of Site Visit” shall be posted for 30 days. Failure to maintain postings as required, will result in an immediate $100 civil penalty. Exit interview conducted and report was reviewed with the Qun Xing Luo
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 05-CC-20230802114000
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: SHINING STAR BILINGUAL MONTESSORI
FACILITY NUMBER: 384004173
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/30/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/30/2023
Section Cited
CCR
101226(b)
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101226 Health-Related Services
(b) The licensee shall make prompt arrangements for obtaining medical treatment for any child if necessary.

This requirement is not met as evidenced by:
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The center must review the health related services regulation. Staff must submit proof of attendance.

Due Date for POC is 9/8/2023
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Based on record review and interview, the licensee did not comply with the section above, which poses a potential health and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3