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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414004563
Report Date: 02/12/2020
Date Signed: 02/12/2020 10:54:27 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
01/15/2020 and conducted by Evaluator Luis Gomez
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20200115154456
FACILITY NAME:WU, JOYCEFACILITY NUMBER:
414004563
ADMINISTRATOR:WU, JOYCEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 708-1788
CITY:SAN MATEOSTATE: CAZIP CODE:
94402
CAPACITY:14CENSUS: 12DATE:
02/12/2020
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Licensee, Joyce WuTIME COMPLETED:
11:05 AM
ALLEGATION(S):
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Adult in the home yells at children in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Luis J. Gomez met with Joyce Wu for complaint investigation of above allegation. Purpose of the inspection was explained. Present is the licensee and helper caring 12 children. ( six infants, six preschool age). LPA Gomez inspected facility with licensee for health and safety hazards.

During today's inspection LPA Gomez interviewed licensee and facility helper. LPA also performed observations, reviewed facility records.

As part of this investigation, LPA Gomez conducted inspections of the facility on 1/22/2020 and 2/12/2020. A review of facility records was also completed, which included a review of the children’s roster, personnel files and children's files. Also, as part of this complaint investigation, interview was conducted with the licensee, parents and helper.

(Continuation on 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 05-CC-20200115154456
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: WU, JOYCE
FACILITY NUMBER: 414004563
VISIT DATE: 02/12/2020
NARRATIVE
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(Page 2)
Regarding the allegation of an adult in the home yells at children in care. Based on facility observations done on 1/22/2020 and 2/12/2020, and interviews conducted with parents, licensee and facility helper, LPA is unable to determine if adult in the home yells at the children. During inspections, LPA observed appropriate child interactions and proper use of redirection techniques by provider and staff.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is Unsubstantiated. Copy of this report is reviewed and provided to the director. No deficiencies are cited.

Exit interview was conducted with Joyce Wu and Notice of site visit was observed being posted.

SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2