414001932-10-17-2024-05-CC-MROZ-DBMRHF-20241204120216

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 414001932
Report Date: 10/17/2024
Date Signed: 10/17/2024 11:02:32 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 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
08/15/2024 and conducted by Evaluator Maria Olguin-Leon

COMPLAINT CONTROL NUMBER: 05-CC-20240815111858

FACILITY NAME:	PFS - EARLY LEARNING CDC (PS)		FACILITY NUMBER:	414001932
ADMINISTRATOR:	VILLALPANDO,ADRIANA		FACILITY TYPE:	850
ADDRESS:	24 SECOND AVENUE		TELEPHONE:	(650) 403-4300
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94401
CAPACITY:	48	CENSUS: 39	DATE:	10/17/2024
		UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Jessica Bloom		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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Staff speaks inappropriately to day care children

INVESTIGATION FINDINGS:

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On October 17, 2024, at approximately 9:10 am, Licensing Program Analyst (LPA) Maria Olguin-Leon conducted an unannounced inspection and met with Program Manager, Jessica Bloom. Purpose of the inspection was explained and was to deliver complaint findings for the above allegation. Present in the facility were Program manager, 10 staff caring for a total of 39 children (29 preschoolers and 14 toddlers). Facility is operating within capacity. During today's inspection, LPA and Program manager inspected the facility for health and safety hazards and LPA conducted interviews.

During the course of the investigation, LPA inspected facility, conducted interviews, conducted observations, and reviewed pertinent documentation provided. Based on evidence obtained, it was determined that the allegation, Staff speaks inappropriately to day care children, is determined to be UNSUBSTANTIATED. Although the above allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

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

Exit interview was conducted and report was reviewed with Program Manager, Jessica Bloom and Appeal rights were provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Maria Olguin-Leon	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2024

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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