384004339-12-3-2021-05-CC-CINO-C9P26X-20211213160753

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 384004339
Report Date: 12/03/2021
Date Signed: 12/03/2021 10:16:13 AM

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
10/08/2021 and conducted by Evaluator Luis Gomez

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20211008155042

FACILITY NAME:	MISSION KIDS		FACILITY NUMBER:	384004339
ADMINISTRATOR:	MARCHIEL, CHRISTINA M.		FACILITY TYPE:	850
ADDRESS:	969 TREAT AVENUE		TELEPHONE:	(415) 970-9027
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94110
CAPACITY:	96	CENSUS: 0	DATE:	12/03/2021
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Christina Maluenda Marchiel, Heather Lubeck		TIME COMPLETED:	10:25 AM

ALLEGATION(S):

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Day-care child was inappropriately handled while in care.

INVESTIGATION FINDINGS:

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On 12/3/2021 at 9:15A.M., Licensing Program Analyst (LPA), Luis J. Gomez conducted an unannounced subsequent complaint inspection to discuss the above allegations with Director, Heather Lubeck. Present during inspection was the Director and no children. Per director, facility is closed for staff development. This complaint was investigated by the Department’s Investigations Branch (IB).

During the course of the investigation, I.B. Investigator conducted interviews with Directors, Staff, Children and Guardians. Although the allegation of day-care child was inappropriately handled while in care may have happened or is valid; Based on the information obtained, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore allegation are found to be Unsubstantiated.

LPA conducted exit interview with the Director. Appeal rights were explained, and the Notice of Site Visit was posted during inspection.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2021

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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