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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 214005542
Report Date: 09/15/2023
Date Signed: 09/15/2023 04:04:03 PM

Substantiated


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
09/13/2023 and conducted by Evaluator Hanson Leong
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20230913124722
FACILITY NAME:DURAN, MARIA C.FACILITY NUMBER:
214005542
ADMINISTRATOR:DURAN, MARIA C.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 521-9419
CITY:SAN RAFAELSTATE: CAZIP CODE:
94901
CAPACITY:14CENSUS: 14DATE:
09/15/2023
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Maria DuranTIME COMPLETED:
04:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee was operating over capacity.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 9/15/2023, Licensing Program Analyst (LPA), Hanson Leong, made an unannounced complaint visit to the to the Family Child Care Home listed above. The LPA was granted entry by the Licensee, Maria Duran. The LPA explained the purpose of the visit to the Licensee. All 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 two assistants supervising four infants and ten preschool aged children. The facility is not operating within its capacity and in accordance with the required ratio of staff to children. (refer to LIC 809D for citation).

All relevant information was gathered and analyzed during the LPA investigation, and all parties involved were contacted and interviewed. Based on information obtained from the LPA investigation, the preponderance of evidence standard has been met, therefore the above allegation, is found to be substantiated.

***See Page 2***
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2023
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 5
Control Number 05-CC-20230913124722
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: DURAN, MARIA C.
FACILITY NUMBER: 214005542
VISIT DATE: 09/15/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Continued, Page 2
During today's visit, the LPA observed that was an infant sleeping in a baby swing, which is a violation of Child Care Regulations.(refer to LIC 809D for citation). The LPA instructed the assistant to move the infant to a sleeping pen. The LPA observed the assistant moving the infant to the sleeping pen.

The LPA informed the licensee to provide a copy of this licensing report dated 9/15/2023 that documents any Type A citations to the parents or guardians of all children currently enrolled by the next business day or the next day the children are in care, and to the parents or guardians of any newly enrolled children for a period. of 12 months from the date of this report. The deadline for providing this information is the next day, 9/18/2023, the children are in care. For the purposes of verification, the child's file needs to have either a signed Acknowledgement of Receipt of Licensing Report (LIC 9224) or another type of written statement.

Please reference LIC 809D for today's two Type A citations.

A copy of today’s report and the facility's appeal rights were given to Maria Duran. The Notice of Site Visit and the LIC 809D were given to Maria Duran and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Exit interview conducted and report was reviewed with Maria Duran.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 05-CC-20230913124722
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: DURAN, MARIA C.
FACILITY NUMBER: 214005542
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/15/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/18/2023
Section Cited
CCR
102416.5(a)
1
2
3
4
5
6
7
(a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.

This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Licensee will talk to the parents regarding the facility's overcapacity.
Licensee states she will submit proof that the conversation took place regarding the facility's capacity
The department will conduct a follow up visit regarding the facility's overcapacity
8
9
10
11
12
13
14
Based on observation, interview, and record review, the licensee did not comply with the section cited above, which poses an immediate health, safety or personal rights risk to children in care.
8
9
10
11
12
13
14
Type A
09/18/2023
Section Cited
CCR
102425(i)
1
2
3
4
5
6
7
(i) If an infant falls asleep before being placed in a crib or play yard, the provider shall move the infant to a crib or play yard as soon as possible.
This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Licensee states she will donate the baby swing,
Licensee states she will submit proof that the conversation took place regarding the facility's capacity
The department will conduct a follow up visit regarding the facility's overcapacity
8
9
10
11
12
13
14
Based on observation and interview the licensee did not comply with the section cited above, which poses an immediate health, safety or personal rights risk to children in care.
8
9
10
11
12
13
14
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
09/13/2023 and conducted by Evaluator Hanson Leong
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20230913124722

FACILITY NAME:DURAN, MARIA C.FACILITY NUMBER:
214005542
ADMINISTRATOR:DURAN, MARIA C.FACILITY TYPE:
810
ADDRESS:315 FORBES AVETELEPHONE:
(415) 521-9419
CITY:SAN RAFAELSTATE: CAZIP CODE:
94901
CAPACITY:14CENSUS: 14DATE:
09/15/2023
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Maria DuranTIME COMPLETED:
04:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Infants were unsupervised while they are sleeping
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 9/15/2023, Licensing Program Analyst (LPA), Hanson Leong, made an unannounced complaint visit to the to the Family Child Care Home listed above. The LPA was granted entry by the Licensee, Maria Duran. The LPA explained the purpose of the visit to the Licensee. All 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 two assistants supervising four infants and ten preschool aged children. The facility is not operating within its capacity and in accordance with the required ratio of staff to children. (refer to LIC 809D for citation).

All relevant information was gathered and analyzed during the LPA investigation, and all parties involved were contacted and interviewed. Based on information obtained from the LPA investigation, the allegation listed above, 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.
***See Page 2***

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 05-CC-20230913124722
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: DURAN, MARIA C.
FACILITY NUMBER: 214005542
VISIT DATE: 09/15/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Continued, Page 2
During today's visit, the LPA observed that was an infant sleeping in a baby swing, which is a violation of Child Care Regulations.(refer to LIC 809D for citation). The LPA instructed the assistant to move the infant to a sleeping pen. The LPA observed the assistant moving the infant to the sleeping pen.

The LPA informed the licensee to provide a copy of this licensing report dated 9/15/2023 that documents any Type A citations to the parents or guardians of all children currently enrolled by the next business day or the next day the children are in care, and to the parents or guardians of any newly enrolled children for a period. of 12 months from the date of this report. The deadline for providing this information is the next day, 9/18/2023, the children are in care. For the purposes of verification, the child's file needs to have either a signed Acknowledgement of Receipt of Licensing Report (LIC 9224) or another type of written statement.

Please reference LIC 809D for today's two Type A citations.

A copy of today’s report and the facility's appeal rights were given to Maria Duran. The Notice of Site Visit and the LIC 809D were given to Maria Duran and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Exit interview conducted and report was reviewed with Maria Duran.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 5