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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414001022
Report Date: 07/05/2022
Date Signed: 07/05/2022 12:08:30 PM

Unsubstantiated


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
05/19/2022 and conducted by Evaluator Hanson Leong
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20220519093815

FACILITY NAME:BELLE AIR PRESCHOOLFACILITY NUMBER:
414001022
ADMINISTRATOR:PAUAHI MCGINNFACILITY TYPE:
850
ADDRESS:450 3RD AVENUETELEPHONE:
(650) 624-3158
CITY:SAN BRUNOSTATE: CAZIP CODE:
94066
CAPACITY:96CENSUS: 22DATE:
07/05/2022
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Maribel TamezTIME COMPLETED:
12:05 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
-Director is not meeting requirements of being at the facility
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 7/5/2022, Licensing Program Analyst (LPA), Hanson Leong, made an unannounced visit to the Belle Air Preschool to deliver the findings and close out a complaint. LPA was granted entry by the site supervisor, Maribel Tamez. LPA explained the purpose of the visit to the site supervisor. All the facility's staff members have had their criminal background checks cleared by Guardian. LPA observed six teachers supervising twenty-two preschool children.

During the investigation, all pertinent information was gathered and examined, and all the parties involved were contacted and interviewed. According to staff interviews, the director is present at the facility on a daily basis. LPA attempted to interview the children, but all of them failed the pre-interview process. Based on information obtained from interviews with both staff and children, the department was unable to determine whether these allegations were true.

Based on LPA interviews and information obtained, the above allegations may have happened or are valid, there is not a preponderance of evidence to prove the violation did or did not occur; therefore, the above allegation is found to be unsubstantiated.

Appeal rights was discussed with the site supervisor

A copy of this report and the “Notice of Site Visit” and their “Appeal Rights” were given to the site supervisor

“The Notice of Site Visit” shall be posted for 30 days

Failure to maintain postings as required, will result in an immediate $100 civil penalty.

Exit interview conducted and report was reviewed with the site supervisor, Maribel Tamez.




Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson LeongTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 07/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/05/2022
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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