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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414004491
Report Date: 05/21/2021
Date Signed: 05/21/2021 11:25:27 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
03/22/2021 and conducted by Evaluator Brendon Van
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20210322151957
FACILITY NAME:EARLY BIRD PRESCHOOL LEARNING CENTERFACILITY NUMBER:
414004491
ADMINISTRATOR:CASEY, GOLCHIN M.FACILITY TYPE:
850
ADDRESS:120 LINDBERGH STREETTELEPHONE:
(650) 344-8295
CITY:SAN MATEOSTATE: CAZIP CODE:
94401
CAPACITY:34CENSUS: 32DATE:
05/21/2021
UNANNOUNCEDTIME BEGAN:
10:28 AM
MET WITH:Ashley Vendel and Casey GolchinTIME COMPLETED:
11:45 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
-Facility staff handled child in a rough manner
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On May 21, 2021, at 10:30 AM, Licensing Program Analyst (LPA) Van conducted a subsequent tele-visit complaint inspection to deliver the above allegation finding. Due to COVID-19 and the Department of Public Health guidelines of social distancing, Facetime was used throughout today's inspection. LPA met with the Site Director, Ashley Vendel, and owner, Golchin Casey. Presently, there are thirty-two (32) children being cared for by eight (8) staff. The facility is operating within the capacity limits of the license.

During the course of the investigation, all relevant information was obtained and reviewed; all parties involved were contacted and interviewed. Based on interviews conducted with teachers S1, S2, S3, and Child C1, there was insufficient evidence to support whether or not a staff member roughly handled a child in care. 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 was discussed with the Site Director and Facility Owner. The report was emailed to the Site Director.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon VanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2021
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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