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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 214005622
Report Date: 12/20/2024
Date Signed: 12/20/2024 04:00:06 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO 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
10/04/2024 and conducted by Evaluator Nathan Garcia
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20241004112410
FACILITY NAME:ARGUEDAS PASARA, PAMELAFACILITY NUMBER:
214005622
ADMINISTRATOR:ARGUEDAS PASARA, PAMELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 209-8155
CITY:NOVATOSTATE: CAZIP CODE:
94947
CAPACITY:14CENSUS: 4DATE:
12/20/2024
UNANNOUNCEDTIME BEGAN:
02:21 PM
MET WITH:Pamela ArguedasTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Facility is out of ratio.
INVESTIGATION FINDINGS:
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On December 20, 2024, Licensing Program Analyst (LPA) Nathan Garcia conducted a subsequent complaint inspection in response to the above complaint allegations. LPA met with Licensee, Pamela Arguedas and explained purpose of inspection. Present during the visit are 4 infant children in care, including the Licensee's granddaughter with the Licensee and her adult daughter, son, and husband.

During the course of the investigation, interviews were conducted and relevant documents were gathered. Based on interview with Licensee, records reviewed, and observations, the preponderance of evidence standard has been met, therefore the above allegation(s) is found SUBSTANTIATED.

Exit interview was conducted with Licensee, Pamela Arguedas.
Report and Notice of Site Visit was provided.
Notice of Site Visit will be posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Nathan Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2024
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-20241004112410
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: ARGUEDAS PASARA, PAMELA
FACILITY NUMBER: 214005622
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/23/2024
Section Cited
CCR
102116.5d(1)
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102416.5 Staffing Ratio and Capacity
(d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either:
(1) Twelve children, no more than four of whom may be infants; or

This requirement is not met as evidence by:
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The Licensee's clients left the facility and only cares for 4 infant children based on the facility's roster. LPA reminded the licensee that her infant grand daughter is part of the infant ratio if she is at the FCCH.
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Based on the interview and record review, the licensee did not comply with the above-referenced section. The licensee was operating with more than 4 infants during the time the complaint was received. Which poses an immediate 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.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Nathan Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2024
LIC9099 (FAS) - (06/04)
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