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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414004132
Report Date: 01/16/2025
Date Signed: 01/16/2025 02:02:37 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
10/22/2024 and conducted by Evaluator Leslit Tapia-Mandujano
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20241022092311
FACILITY NAME:ALL FIVE @ BELLE HAVEN (PS)FACILITY NUMBER:
414004132
ADMINISTRATOR:CAROL THOMSENFACILITY TYPE:
850
ADDRESS:415 IVY DRIVETELEPHONE:
(650) 387-8268
CITY:MENLO PARKSTATE: CAZIP CODE:
94025
CAPACITY:60CENSUS: 40DATE:
01/16/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Director of Finance and Operations, Ana GuanzonTIME COMPLETED:
02:25 PM
ALLEGATION(S):
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9
Staff hit child in care
Child sustained unexplained bruising while in care
Staff handled daycare child in a rough manner
INVESTIGATION FINDINGS:
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On January 16th, 2025 at approximately 9:30am, Licensing Program Analyst (LPA) Tapia-Mandujano conducted a subsequent unannounced visit to the facility to deliver investigation findings in response to the above allegation that was made to the Child Care Licensing Division (CCLD) on 10/22/24. LPA met with Director of Finance and Operations, Ana Guanzon and explained the purpose of the visit.
During today's inspection, there were 40 preschool age children being supervised by 6 staff during nap time. All staff observed during today's inspection are fingerprint cleared and associated. During today’s visit, LPA conducted a health and safety inspection and conducted two additional staff interviews.

During the course of the investigation, LPA conducted both staff and parent interviews, conducted health and safety inspections, and received pertinent documentation. LPA determined that based on the information obtained there is not sufficient evidence to prove that: Staff hit child in care, Child sustained unexplained bruising while in care, and/ or staff handled daycare child in a rough manner.

Although the allegation above may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore, the above allegations are UNSUBSTANTIATED.

Upon receipt of this report, Licensee shall post the Notice of Site Visit. 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.

After today’s visit, an exit interview was conducted, report was reviewed and copy was provided to with Director of Finance and Operations, Ana Guanzon.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025
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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