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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 214200004
Report Date: 07/23/2024
Date Signed: 07/23/2024 10:13:06 AM

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
05/21/2024 and conducted by Evaluator Hanson Leong
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20240521091735
FACILITY NAME:ANDRADE-WOLF, ANAFACILITY NUMBER:
214200004
ADMINISTRATOR:ANDRADE-WOLF, ANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 299-0862
CITY:SAN RAFAELSTATE: CAZIP CODE:
94903
CAPACITY:14CENSUS: 5DATE:
07/23/2024
UNANNOUNCEDTIME BEGAN:
09:31 AM
MET WITH:Ana Andrade WolfTIME COMPLETED:
10:25 AM
ALLEGATION(S):
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- Licensee inappropriately restrained daycare child.

- Licensee had inappropriate interaction with daycare child.

- Licensee does not allow daycare children to nap.
INVESTIGATION FINDINGS:
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On 7/23/2024, Licensing Program Analyst (LPA) Hanson Leong conducted an unannounced complaint visit to the Family Childcare Home (FCCH) listed above. The purpose of the visit was to deliver the findings and to close out the complaint. LPA met with the Licensee, Ana Andrade Wolf, and explained the purpose of the visit.

Five children (one infant and four pre-k) and three adults (the licensee and the licensee's two assistants) were present at the home. The three adults received criminal record clearance from the department. The FCCH holds a large license and is within capacity limits and ratios.

During the LPA investigation, all relevant information was collected and analyzed, and all parties involved were contacted and interviewed. Based on the information obtained from the LPA investigation, the allegations listed above were unsubstantiated, meaning it may have happened or is valid, there is no preponderance of evidence to prove the violations did or did not occur.

A copy of today’s report was given to the Licensee, Ana Andrade Wolf.
A Notice of Site Visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the Licensee, Ana Andrade Wolf.

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

DATE: 07/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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