414004236-6-23-2023-05-CC-DJOO-CTHR45-20230707124058

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 414004236
Report Date: 06/23/2023
Date Signed: 06/23/2023 12:34:24 PM

Unsubstantiated

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
06/21/2023 and conducted by Evaluator Marie Rodriguez

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20230621165601

FACILITY NAME:	BUILDING KIDZ (PS)		FACILITY NUMBER:	414004236
ADMINISTRATOR:	NESHEIWAT, SAMANTHA		FACILITY TYPE:	850
ADDRESS:	39 E. 39TH AVENUE		TELEPHONE:	(650) 212-5439
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94403
CAPACITY:	70	CENSUS: 34	DATE:	06/23/2023
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Jennifer Massis and Samantha Nesheiwat		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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- Staff allowed children to eat from the floor

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Marie Rodriguez conducted an unannounced inspection to open a complaint. LPA met with Teacher Samar Bouri and explained purpose of inspection. Executive Director Jennifer Massis and Director Samantha Nesheiwat arrived a short time later. Present at the school were the directors, 6 teachers, and 34 preschool aged children.

During the course of the investigation, LPA conducted a physical plant tour of the facility and conducted interviews. LPA observed the school to be clean and in good repair. LPA observed the multi-purpose room and the rugs in the room to be clean. Multi-purpose room is only used for napping and music and dance classes. Children eat their meals in a separate room. Per the Executive Director and Director, the school is cleaned throughout the day by staff and a cleaning crew deep cleans the school on Friday evenings. Children do not eat in the multi-purpose room and are never allowed to eat food that is dropped or put on the floor. Based on the information gathered, there is insufficient evidence to prove the staff allowed children to eat from the floor.

(Continued on LIC 9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 06/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2023

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-20230621165601

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 (PS)	FACILITY NUMBER: 414004236
	VISIT DATE: 06/23/2023

NARRATIVE

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(Continued from LIC 9099)

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

No deficiencies cited today under California Code of Regulations, Title 22, Division 12.

Exit interview was conducted and report was reviewed with Director Samantha Nesheiwat. A copy of the report was provided. A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 06/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2023

LIC9099 (FAS) - (06/04)

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