414001725-5-19-2022-05-CC-GLEG-CFLUTU-20220621155229

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 414001725
Report Date: 05/19/2022
Date Signed: 05/19/2022 12:40:09 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
04/18/2022 and conducted by Evaluator April Cowan

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20220418155756

FACILITY NAME:	TEMPORARY TOT TENDING		FACILITY NUMBER:	414001725
ADMINISTRATOR:	LESLIE GRANILLO		FACILITY TYPE:	840
ADDRESS:	1283 TERRA NOVA BOULEVARD		TELEPHONE:	(650) 355-5026
CITY:	PACIFICA	STATE: CA	ZIP CODE:	94044
CAPACITY:	100	CENSUS: 0	DATE:	05/19/2022
		UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Leslie Granillo		TIME COMPLETED:	12:50 PM

ALLEGATION(S):

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9

Staff spoke inappropriately in the presence of children

Staff yelled at child

INVESTIGATION FINDINGS:

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On 5-19-22 at 11:45 AM,, Licensing Program Analyst (LPA) Cowan met with site director for an unannounced subsequent complaint inspection. The purpose of inspection was explained and the purpose is to deliver findings. Present in the facility is Director and one staff.

In today’s inspection, LPA along with director inspected for health and safety hazards. LPA observed no deficiencies during inspection. During the course of investigation, LPA has interviewe Director, Staff, Parents, and Children. LPA has found no evidence of the allegations.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: April Cowan	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2022

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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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
04/18/2022 and conducted by Evaluator April Cowan

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20220418155756

FACILITY NAME:	TEMPORARY TOT TENDING		FACILITY NUMBER:	414001725
ADMINISTRATOR:	LESLIE GRANILLO		FACILITY TYPE:	840
ADDRESS:	1283 TERRA NOVA BOULEVARD		TELEPHONE:	(650) 355-5026
CITY:	PACIFICA	STATE: CA	ZIP CODE:	94044
CAPACITY:	100	CENSUS: 0	DATE:	05/19/2022
		UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Leslie Granillo		TIME COMPLETED:	12:50 PM

ALLEGATION(S):

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5
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9

Staff is allowing older children in the program

INVESTIGATION FINDINGS:

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2
3
4
5
6
7
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9
10
11
12
13

On 5-19-22 at 11:45 AM,, Licensing Program Analyst (LPA) Cowan met with site director for an unannounced subsequent complaint inspection. The purpose of inspection was explained and the purpose is to deliver findings. Present in the facility is Director and one staff.

In today’s inspection, LPA along with director inspected for health and safety hazards. LPA observed no deficiencies during inspection. During the course of investigation, LPA how found multiple sources to state that older children are often present during the day care operation hours.

Based on LPA’s interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is founded to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: April Cowan	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2022

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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Control Number 05-CC-20220418155756

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: TEMPORARY TOT TENDING	FACILITY NUMBER: 414001725
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/19/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 05/27/2022 Section Cited CCR 101223(a)(2)	1 2 3 4 5 6 7	101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Director agrees to refrain from having older children co-mingle with school age children by 5/27/22. Director ageees to train staff on the subject and email LPA a copy of the training agenda and staff in attendance by 5-27-22.
	8 9 10 11 12 13 14	Based on interviews, staff allowed older children to come and comingle with school age children. LPA found that one older child has been problematic in particular. This is a possible risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: April Cowan	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2022

LIC9099 (FAS) - (06/04)

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