414002135-3-30-2023-05-CC-DJOO-CQZVJP-20230418162904

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 414002135
Report Date: 03/30/2023
Date Signed: 03/30/2023 04:03:52 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
02/06/2023 and conducted by Evaluator Andrea Medlin

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20230206091843

FACILITY NAME:	MILLS MONTESSORI SCHOOL		FACILITY NUMBER:	414002135
ADMINISTRATOR:	DR. FALLAH		FACILITY TYPE:	850
ADDRESS:	1400 HILLSIDE BLVD.		TELEPHONE:	(650) 616-9000
CITY:	SOUTH SAN FRANCISCO	STATE: CA	ZIP CODE:	94080
CAPACITY:	120	CENSUS:	DATE:	03/30/2023
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Jennifer Valle		TIME COMPLETED:	04:25 PM

ALLEGATION(S):

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Staff did not provide sign in and out sheet for day care child's parent

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Andrea Medlin met with facility representative for this conclusionary complaint visit. Purpose of visit explained. It was alleged that facility did not follow sign in and out policies with regard to a parent asking for copies of it. Facility had previously used paper hard copy sign in and out and each child has a separate log. The facility denies being asked for this document. Therefore it is unknown if the document should have been provided.

The investigation determined there is not enough available sufficient information provided to prove a violation of occurred.

Although these allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore these allegations are closed as unsubstantiated.

This report is reviewed with director and a copy of this report must be made available for public review upon request. Notice of Site Visit posted and shall remain posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Andrea Medlin	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2023

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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