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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 214005361
Report Date: 09/13/2022
Date Signed: 09/13/2022 03:31:15 PM

Unsubstantiated


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
06/24/2022 and conducted by Evaluator Hanson Leong
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20220624145018
FACILITY NAME:SOARES, KARINA M.FACILITY NUMBER:
214005361
ADMINISTRATOR:SOARES, KARINA M.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 701-3679
CITY:SAN RAFAELSTATE: CAZIP CODE:
94903
CAPACITY:14CENSUS: 11DATE:
09/13/2022
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Karina SoaresTIME COMPLETED:
03:31 PM
ALLEGATION(S):
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-Licensee hit day care children

-Licensee threatened day care child(ren)
INVESTIGATION FINDINGS:
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On 9/13/2022, Licensing Program Analyst (LPA), Hanson Leong, made an unannounced conclusionary complaint visit to the Karina Soares facility. The LPA was granted entry by the Licensee, Karina Soares. The LPA explained the purpose of the visit to the licensee. Guardian, the department's system for conducting background checks, has confirmed that all the individuals listed on the facility’s roster have been granted permission to work or be present in a childcare facility. The LPA observed the licensee and her assistant supervising three infants and eight preschool children. Children's capacity and ratio requirements were observed to be in compliance

All relevant information was gathered and analyzed during the investigation, and all parties involved were contacted and interviewed. Based on information obtained from interviews with staff members and children, the department was unable to determine whether the two complaints, which claimed that the licensee was hitting and threatening children, were true.
***See Page 2 for continuation***
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2022
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-20220624145018
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: SOARES, KARINA M.
FACILITY NUMBER: 214005361
VISIT DATE: 09/13/2022
NARRATIVE
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Continued, Page 2
Given the supporting details that were provided by the reporting party, the department was unable to determine whether these allegations were true.

Based on LPA interviews and observations, the two allegations, licensee hitting and threatening day-care children, may have happened or are valid, there is not a preponderance of evidence to prove the violation did or did not occur; therefore, the above allegation is found to be unsubstantiated.

Appeal rights was discussed with the licensee

“The Notice of Site Visit” shall be posted for 30 days.

Failure to maintain postings as required, will result in an immediate $100 civil penalty.

A copy of this report, the “Notice of Site Visit” and the licensee's “Appeal Rights” were given to the licensee

Exit interview conducted and report was reviewed with the Licensee, Karina Soares
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2