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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434416122
Report Date: 05/28/2024
Date Signed: 05/28/2024 11:35:42 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/18/2024 and conducted by Evaluator Michael Mathew
COMPLAINT CONTROL NUMBER: 52-CC-20240318115015
FACILITY NAME:CHILDREN'S CENTER OF THE STANFORD COMMUNITY (CCSC)FACILITY NUMBER:
434416122
ADMINISTRATOR:NAVE, KIMFACILITY TYPE:
850
ADDRESS:140 COMSTOCK CIRCLETELEPHONE:
(650) 721-0101
CITY:STANFORDSTATE: CAZIP CODE:
94305
CAPACITY:164CENSUS: 77DATE:
05/28/2024
UNANNOUNCEDTIME BEGAN:
08:55 AM
MET WITH:Kim NaveTIME COMPLETED:
11:50 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff handled child in a rough manner
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 5/28/24 at, 8:55 AM Licensing Program Analyst (LPA) Michael Mathew conducted an unannounced inspection to conclude a complaint investigation and completed a COVID-19 pre-screening questions prior to entering the facility. LPA met with Director Kim nave and advised her the purpose of the inspection. Director provided LPA a tour of the facility inside and out. There were 77 children and 21 staff in care at the time of the inspection.

Allegation:Staff handled child in a rough manner During the investigation, LPA interviewed Reporting party, staff members, and parents. Based on interviews conducted, there is not a preponderance of evidence to prove the alleged violation did or did not occur, meaning the allegations may have happened or are valid. Therefore, the allegations are deemed UNSUBSTANTIATED.

Report was reviewed and a notice of site visit was given and must remain posted for 30 days. Exit interview was conducted with director Kim Nave.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Michael Mathew
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2024
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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