<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 214005515
Report Date: 06/15/2023
Date Signed: 06/15/2023 02:15:43 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 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
04/11/2023 and conducted by Evaluator Leslit Tapia-Mandujano
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20230411084743
FACILITY NAME:CATZIM DIAZ, REINA G.FACILITY NUMBER:
214005515
ADMINISTRATOR:CATZIM DIAZ, REINA G.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 524-9434
CITY:NOVATOSTATE: CAZIP CODE:
94947
CAPACITY:14CENSUS: 14DATE:
06/15/2023
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Licensee, Reina G. Catzim DiazTIME COMPLETED:
02:40 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Day care child was bit by another child due to lack of supervision.
Day care child was forced to stay in the designated sleeping area.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On June 15th, 2023 at approximately 10am, Licensing Program Analyst (LPA) Tapia-Mandujano conducted an unannounced, complaint investigation and met with licensee, Reina G. Catzim Diaz regarding above allegations and explained the purpose of the visit. LPA toured the home for health and safety hazards. During today's inspection, LPA also interviewed assitant, licensee, and obtained copies of the updated children's roster.

Complaint was received by the Department on 04/11/23. Present in the facility are licensee, assistant, and licensee's teenage daughter caring for 14 children (2 infants, 11 preschoolers, and 1 school age). All adults working or living in the facility have fingerprint clearance and are associated.

During the course of the investigation, interviews were conducted with licensee, parents, assistants, involved parties, and relevant documents were gathered. The investigation determined there is not enough available information to prove that a day care child was bit by another child due to lack of supervision or day care child was forced to stay in designated sleeping area.

Although the allegation above may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore, the above allegations are UNSUBSTANTIATED.

After today’s visit, an exit interview was conducted with licensee, Reina G. Catzim Diaz. A copy of this report was reviewed and provided to licensee.

Upon receipt of this report, Licensee shall post the Notice of Site Visit. The report and the Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain postings as required, will result in an immediate $100 civil penalty. This report is public and can be reviewed.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE:

DATE: 06/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2023
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