384004176-10-6-2021-05-CC-AZEA-C8PVKJ-20211112153027

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 384004176
Report Date: 10/06/2021
Date Signed: 10/06/2021 04:46:21 PM

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
08/13/2021 and conducted by Evaluator Kassandra Medrano

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20210813164143

FACILITY NAME:	LAUREL HEIGHTS CHILD DEVELOPMENT CENTER(PS)		FACILITY NUMBER:	384004176
ADMINISTRATOR:	PATZNER, KIMBERLEE		FACILITY TYPE:	850
ADDRESS:	2675 GEARY BLVD. SUITE 400		TELEPHONE:	(415) 490-5204
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94118
CAPACITY:	110	CENSUS: 78	DATE:	10/06/2021
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Interim Director, Joanne Haight		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility out of Ratio
Absence of Supervision
Unqualified of Staff supervising children alone

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA), Kassandra Medrano conducted a subsequent unannounced complaint inspection, and met with interim director, Joanne Haight. Present in the facility are 78 preschool children. During the course of the investigation, LPA conducted interviews, reviewed files, and collected pertinent documents.

Although the allegations may have happened or are valid, there is not a perpnderance of evidence to prove the allegations did or did not occur, there the allegations are UNSUBSTANTIATED.

NOTICE OF SITE VISIT WILL BE POSTED AND SHALL REMAIN POSTED FOR 30 DAYS.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Kassandra Medrano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 10/06/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2021

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 2