414002749-7-12-2023-05-CC-DJOO-CTWU48-20230720151442

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 414002749
Report Date: 07/12/2023
Date Signed: 07/12/2023 04:46:53 PM

Substantiated

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
06/20/2023 and conducted by Evaluator Andrea Medlin

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20230620104408

FACILITY NAME:	BUILDING KIDZ OF SSF, INC.(PRESCHOOL)		FACILITY NUMBER:	414002749
ADMINISTRATOR:	JACQUELINE GALDAMEZ		FACILITY TYPE:	850
ADDRESS:	600 GRAND AVENUE		TELEPHONE:	(650) 837-9348
CITY:	SOUTH SAN FRANCISCO	STATE: CA	ZIP CODE:	94080
CAPACITY:	54	CENSUS:	DATE:	07/12/2023
		UNANNOUNCED	TIME BEGAN:	02:25 PM
MET WITH:	Jackie Galdamez		TIME COMPLETED:	04:45 PM

ALLEGATION(S):

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Staff did not provide a safe and comfortable environment for daycare children

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. The allegation regarding unsafe environment for children in regard to multiple shipment boxes being stored in the facility hallway creating a possible safety hazard is determined to be true. On previous visit, LPA observed six large boxes stacked three boxes high that were heavy, i.e. 50 lbs each. The boxes could have potentially fallen over and injured a child. On previous visit, the boxes were moved to the staff office and today are gone.

The Department has investigated the complaint allegation listed above. Based on the information gathered, the allegation is found to be true and therefore substantiated.

The deficiency cited on the following page is in violation of the California Code of Regulations, Title 22, Division 12, Chapter 1:

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 shall remain posted for 30 days.

Substantiated

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: 07/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2023

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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Control Number 05-CC-20230620104408

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: BUILDING KIDZ OF SSF, INC.(PRESCHOOL)	FACILITY NUMBER: 414002749
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/12/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 07/13/2023 Section Cited CCR 101223(a)(2)	1 2 3 4 5 6 7	PERSONAL RIGHTS: The licensee shall ensure that each child is accorded the following personal rights:To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.	1 2 3 4 5 6 7	The boxes were removed from the hallway and placed in staff office; today the boxes are gone. Deficiency observed to be corrected and cleared.
	8 9 10 11 12 13 14	This requirement is not met as LPA observed a safety hazard on previous visit of heavy shipment boxes stacked in the facility hallway that could potentially injure a child if knocked over. This is a potential health and safety 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: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Andrea Medlin	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2023

LIC9099 (FAS) - (06/04)

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