414004177-1-7-2021-05-CC-GLEG-BXUVKW-20210202153100

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 414004177
Report Date: 01/07/2021
Date Signed: 01/07/2021 02:20:00 PM

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
11/19/2020 and conducted by Evaluator Jyoti Saini

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20201119092945

FACILITY NAME:	GONZALEZ, STELLA MARIE		FACILITY NUMBER:	414004177
ADMINISTRATOR:	GONZALEZ, STELLA MARIE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(650) 235-9240
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94403
CAPACITY:	14	CENSUS: 12	DATE:	01/07/2021
		UNANNOUNCED	TIME BEGAN:	01:34 PM
MET WITH:	Gonzalez, Stella Marie		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Day care child screams excessively while in care.

INVESTIGATION FINDINGS:

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On 01/07/2020 at 1:34pm, Licensing Program Analyst (LPA) Jyoti Saini met with licensee Stella Marie Gonzalez to close the complaint investigation into the above allegation. This inspection was conducted via phone due to Covid-19 State of Emergency. Present in the facility is the licensee, 2 helpers, and 12 children in care. LPA spoke with licensee and explained the purpose of the inspection.
During the course of investigation, LPA Saini conducted interviews and reviewed records to investigate the compliant. Based on information obtained in interviews, there has been no proof of violations of child’s personal rights.
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.
This report has been explained and discussed with the provider via phone. Copy of this report will be mailed to the facility.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jyoti Saini	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2021

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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