410518747-2-5-2020-05-CC-AMAG-BLQNZT-20200212095450

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 410518747
Report Date: 02/05/2020
Date Signed: 02/05/2020 11:22:03 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
10/24/2019 and conducted by Evaluator Cindy Interiano

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20191024095103

FACILITY NAME:	RCSD CHILD DEV SERVICES-HOOVER STATE PRESCHOOL		FACILITY NUMBER:	410518747
ADMINISTRATOR:	PENA, ROXANA		FACILITY TYPE:	850
ADDRESS:	701 CHARTER ST., PORT. 2,3,& 4		TELEPHONE:	(650) 482-2427
CITY:	REDWOOD CITY	STATE: CA	ZIP CODE:	94063
CAPACITY:	105	CENSUS: 85	DATE:	02/05/2020
		UNANNOUNCED	TIME BEGAN:	10:40 AM
MET WITH:	Site Supervisor, Roxana Pena		TIME COMPLETED:	11:35 AM

ALLEGATION(S):

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Staff inappropriately touched daycare child.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Cindy Interiano conducted an unannounced subsequent complaint inspection to discuss the above allegation and met with Site Supervisor, Roxana Pena. Present during the inspection was Site Supervisor and 12 Staff supervising 85 PreK children.
During the course of the investigation, Investigations Bureau (IB) Investigator, Shanie Churchwell conducted interviews with Facility Staff, Guardians, Children, and obtained Medical reports.
Although the allegation of Staff inappropriately touched daycare child may have happened or may be valid, based on the information obtained by IB Investigator Churchwell, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are found to be 'Unsubstantiated.'
An exit interview was conducted. Appeal rights were given and explained to the Site Supervisor. A Notice of Site Visit was posted during this inspection.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2020

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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