414001399-6-30-2023-05-CC-AZEA-CTLLXX-20230710090923

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 414001399
Report Date: 06/30/2023
Date Signed: 06/30/2023 01:38:08 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
05/05/2023 and conducted by Evaluator Leslit Tapia-Mandujano

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20230505134753

FACILITY NAME:	RCSD-ADELANTE-SELBY SPANISH IMMERSION CDC		FACILITY NUMBER:	414001399
ADMINISTRATOR:	ORTIZ, AIDA		FACILITY TYPE:	850
ADDRESS:	170 SELBY LANE		TELEPHONE:	(650) 482-5957
CITY:	ATHERTON	STATE: CA	ZIP CODE:	94027
CAPACITY:	50	CENSUS: 15	DATE:	06/30/2023
		UNANNOUNCED	TIME BEGAN:	11:40 AM
MET WITH:	Site Supervisor, Aida Ortiz de Aguilar		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff do not implement proper diapering procedures

INVESTIGATION FINDINGS:

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On June 30th at approximately 11:40am, Licensing Program Analyst (LPA) Tapia-Mandujano conducted an unannounced, complaint investigation and met with Site Supervisor, Aida Ortiz de Aguilar regarding the above allegations and explained the purpose of the visit. LPA and Site Supervisor toured the facility for health and safety hazards. Facility is currently operating only Room #1, and Room #2 is closed for the Summer.

Complaint was received by the Department on 05/05/23. Present in the facility are Site Supervisor and 4 teachers caring for 15 preschool age children. All adults working or living in the facility have fingerprint clearance and are associated through the School District.

During the course of the investigation, interviews were conducted with parents and staff, and relevant documents were gathered. Due to the information received there are no diapering procedures in place, therefore there is insufficient evidence for the allegation above.

Although the allegation above may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore, the above allegations are UNSUBSTANTIATED.

Upon receipt of this report, Licensee shall post the Notice of Site Visit. The report and the Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain postings as required, will result in an immediate $100 civil penalty. This report is public and can be reviewed.

After today’s visit, an exit interview was conducted, report was reviewed and copy was provided to Site Supervisor, Aida Ortiz de Aguilar.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2023

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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