414003061-9-22-2021-05-CC-CINO-C7CSQY-20210930140527

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 414003061
Report Date: 09/22/2021
Date Signed: 09/22/2021 10:29:10 AM

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
08/25/2021 and conducted by Evaluator Catrina Quimbo

COMPLAINT CONTROL NUMBER: 05-CC-20210825110727

FACILITY NAME:	SORA INTNL PRESCHOOL OF SAN CARLOS		FACILITY NUMBER:	414003061
ADMINISTRATOR:	GARCIA, MAKO		FACILITY TYPE:	850
ADDRESS:	356 EL CAMINO REAL		TELEPHONE:	(650) 593-7672
CITY:	SAN CARLOS	STATE: CA	ZIP CODE:	94070
CAPACITY:	30	CENSUS: 22	DATE:	09/22/2021
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Director, Mako Garcia		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Staff are not following Covid-19 mandates.

INVESTIGATION FINDINGS:

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On September 22, 2021 at 9:30am, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, complaint investigation to Sora Intnl Preschool of San Carlos. LPA met with director, Mako Garcia. The purpose of the visit was explained to director. Present at time of visit were 4 staff members (including director) and 19 preschool children.

During the investigation, LPA conducted classroom observations, interviews, and reviewed records and documents. Upon initial complaint visit on 08/25/2021, LPA observed all staff to be wearing masks, some children in care to be wearing masks and some children not to be wearing masks.

Documents provided to LPA outline facility's health and COVID-19 guidelines implemented. As part of this complaint investigation, interviews were conducted with the director and random selection of enrolled children’s parents. Director stated children are encouraged by staff to wear masks but do not force children to wear masks.

(Continue on 9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8864
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: (650) 393-8293
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2021

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-20210825110727

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: SORA INTNL PRESCHOOL OF SAN CARLOS	FACILITY NUMBER: 414003061
	VISIT DATE: 09/22/2021

NARRATIVE

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(Continued, Page 2)

Director stated children enter facility with masks on and wash their hands, disinfect materials and windows remain open for air flow. Random selection of parent interviewed stated staff always wear masks, encourage children to wear masks and implement COVID-19 protocols.

Although the above allegation may have happened or is valid, based on LPA’s interviews and record review which were conducted, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

After today’s visit, an exit interview was conducted with director, Mako Garcia. Upon receipt of this report, director 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.

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8864
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: (650) 393-8293
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2021

LIC9099 (FAS) - (06/04)

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