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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 213000763
Report Date: 08/28/2026
Date Signed: 08/28/2026 04:40:06 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 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
08/14/2026 and conducted by Evaluator Nicole Tran
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20260814165255
FACILITY NAME:NORTH BAY CHILDREN'S CENTER-INFANTFACILITY NUMBER:
213000763
ADMINISTRATOR:KRISTINA SISSECKFACILITY TYPE:
830
ADDRESS:932 C STREETTELEPHONE:
(415) 883-6222
CITY:NOVATOSTATE: CAZIP CODE:
94949
CAPACITY:56CENSUS: 24DATE:
08/28/2026
UNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Nicole Porter & Paige NewtonTIME COMPLETED:
04:55 PM
ALLEGATION(S):
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- Staff does not have current mandated reporter training.
INVESTIGATION FINDINGS:
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On August 28, 2026, at approximately 9:35am, Licensing Program Analyst (LPA) Nicole Tran conducted an unannounced complaint investigation visit at the facility. LPA met with Site Director (D1), Nicole Porter, and Program Director (D2), Paige Newton, and explained the purpose of the visit. Present during the visit was D1, D2, 18 staff members, and 24 children (19 infants and 5 toddlers).

During the investigation, LPA conducted site observations and record review. One out of twenty-six staff files did not contain their current mandated reporter training. The preponderance of evidence standards has been met, therefore, the above allegation is found to be SUBSTANTIATED.

A type B deficiency will be issued today. A plan of correction was discussed and agreed upon. Appeal rights were provided during visit. A notice of site visit was given and must remain posted for 30 days.

An exit interview was conducted, and the report was provided to facility representative, Leydis Mata.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Nicole Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2026
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 3
Control Number 05-CC-20260814165255
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: NORTH BAY CHILDREN'S CENTER-INFANT
FACILITY NUMBER: 213000763
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/28/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/11/2026
Section Cited
HSC
1596.8662(b)(1)
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(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
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The facility shall email LPA evidence of the one staff member's completed current "Childcare Providers" mandated reporter training. Mandated reporter training can be completed at https://mandatedreporterca.com/
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Based on record review, the licensee did not comply with the section cited above. In 1 out of 26 staff files, their "Childcare Providers" mandated reporter training was not available for review, which poses a potential health, safety or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Ali Zebila
LICENSING EVALUATOR NAME: Nicole Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3