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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414002679
Report Date: 09/07/2023
Date Signed: 09/07/2023 12:15:39 PM

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
07/31/2023 and conducted by Evaluator Maria Olguin-Leon
COMPLAINT CONTROL NUMBER: 05-CC-20230731155748
FACILITY NAME:MAI, WENDY C. & LEE, JACK C.FACILITY NUMBER:
414002679
ADMINISTRATOR:MAI, WENDY C.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 577-8880
CITY:FOSTER CITYSTATE: CAZIP CODE:
94404
CAPACITY:14CENSUS: 5DATE:
09/07/2023
UNANNOUNCEDTIME BEGAN:
10:07 AM
MET WITH:Jack Lee & Wendy MaiTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Licensee not providing day care children sanitary food.
INVESTIGATION FINDINGS:
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On September 7, 2023, Licensing Program Analyst (LPA) Maria Olguin-Leon conducted an unannounced inspection to close complaint LPA met with Jack Lee and Wendy Mai. The purpose of the inspection was explained, and it was to report the investigations findings for above allegation.

Complaint was received by the Department on 07/31/23. Present in the facility today were both licensees caring for five children (4 infant,1 preschool age).

During the course of the investigation, interviews were conducted with licensees, parents, and relevant documents were gathered. LPA observed children being feed during lunch time. Based on information gathered, there is insufficient evidence to prove the Licensee not providing day care children sanitary food.

Although the allegations above may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore, the above allegations are UNSUBSTANTIATED
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 05-CC-20230731155748
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: MAI, WENDY C. & LEE, JACK C.
FACILITY NUMBER: 414002679
VISIT DATE: 09/07/2023
NARRATIVE
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An exit interview was conducted with licensees, Jack Lee & Wendy Mai. Licensees 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.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2