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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414001205
Report Date: 02/03/2020
Date Signed: 02/03/2020 11:04:41 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
11/05/2019 and conducted by Evaluator Adam Rodriguez
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20191105142922
FACILITY NAME:WILSON, SANDRA & GONZALES, VERONICOFACILITY NUMBER:
414001205
ADMINISTRATOR:SANDRA W. & VERONICO G.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 573-1565
CITY:SAN MATEOSTATE: CAZIP CODE:
94403
CAPACITY:14CENSUS: 9DATE:
02/03/2020
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Veronico GonzalesTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Adequate supervision is not being provided to the children in care
Licensee failed to provide a safe environment for daycare children
Licensee is operating beyond the terms and conditions of the license
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Rodriguez arrived at the facility unannounced to close the investigation into the above allegations and met with licensee Veronico Gonzales and helper. LPA explained the reason for the inspection. LPA interviewed staff, inspected the daycare areas, observed the daycare, and conducted follow up interviews. During the course of the investigation, LPA Rodriguez conducted interviews with the licensee, witnesses, children, and families regarding the above allegations. Based on the LPAs observations and witness statements, LPA is unable to determine if the above allegations of children not being supervised, unsafe environment, and licensee not living in the home happened or not.

Although the allegation may have happened there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore, the allegation is closed as unsubstantiated. A printed copy of the report as well as the notice of site visit was provided to the licensee.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Adam RodriguezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2020
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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