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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384004460
Report Date: 10/10/2023
Date Signed: 10/10/2023 04:14:58 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
08/28/2023 and conducted by Evaluator Winnie Ly
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20230828181456
FACILITY NAME:EXPLORER MANDARIN IMMERSIONFACILITY NUMBER:
384004460
ADMINISTRATOR:LIM, ANNIEFACILITY TYPE:
850
ADDRESS:1457 9TH AVENUETELEPHONE:
(415) 425-3248
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94122
CAPACITY:38CENSUS: 25DATE:
10/10/2023
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Effie YangTIME COMPLETED:
03:15 PM
ALLEGATION(S):
1
2
3
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5
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7
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9
1. Staff handled day care child in a rough manner.
2. Staff yelled at day care child in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On October 10, 2023, at approximately 2:30pm, Licensing Program Analyst (LPA) Ly conducted visit at the facility to close a complaint. LPA met with Director Effie Yang. The purpose of the inspection was explained. There were 7 staff including caring for 25 children.

During this investigation, LPA interviewed staff and children. As part of the investigation, LPA also collected children’s roster and staff roster.

Based on the information obtained, although the allegations, staff handled day care child in a rough manner and staff yelled at day care child may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore, the above allegations are found to be Unsubstantiated.

A copy of this report and appeal rights were discussed and left with Site Manager whose signature on this form confirm receipt of these reports. Notice of Site Visit was posted. Notice to remain posted for 30 days reports.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Winnie Ly
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2023
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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