410518636-1-18-2024-05-CC-DJOO-D22SA3-20240201124136

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 410518636
Report Date: 01/18/2024
Date Signed: 01/18/2024 11:36:32 AM

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
11/17/2023 and conducted by Evaluator Andrea Medlin

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20231117170325

FACILITY NAME:	PALCARE CHILD CARE CENTER - INFANT		FACILITY NUMBER:	410518636
ADMINISTRATOR:	HAAS, ALISON		FACILITY TYPE:	830
ADDRESS:	945 CALIFORNIA DRIVE		TELEPHONE:	(650) 340-1289
CITY:	BURLINGAME	STATE: CA	ZIP CODE:	94010
CAPACITY:	40	CENSUS: 16	DATE:	01/18/2024
		UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Alison Haas		TIME COMPLETED:	11:55 AM

ALLEGATION(S):

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Staff did not prevent daycare children from having access to hazardous item

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Andrea Medlin met with facility representative for this conclusionary complaint visit. Purpose of visit explained. There are 15 infants with 9 teachers present during the visit. On 11/17/2023, staff were setting up the nap room (separate room from classroom) with the cots for children to nap. While setting up the cots in nap room, an e-cigarette (vape pen) fell out of the pocket of a staff person. Another staff person found it and reported it. The incident was investigated internally and action taken regarding reminders of staff keeping such items locked up and inaccessible to children. Because this incident allegedly occurred in a separate room from where children were at the time, it is unknown whether any child could have had access to the item.

Based on the Department's investigation, it was determined there was a lack of sufficient evidence to support or deny the allegation. Based on this information, the findings of this allegation is unsubstantiated.

This report was reviewed with facility representative and a copy of this report must be made available for public review upon request. Notice of site visit posted and shall remain posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Andrea Medlin	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 01/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2024

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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