380504369-4-29-2025-05-CC-MROZ-DGQTHE-20250516144437

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 380504369
Report Date: 04/29/2025
Date Signed: 04/29/2025 04:16:08 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 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
02/12/2025 and conducted by Evaluator Catrina Quimbo

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20250212162446

FACILITY NAME:	ST. NICHOLAS DAY CARE AND PRESCHOOL		FACILITY NUMBER:	380504369
ADMINISTRATOR:	TUWAI, KATHY		FACILITY TYPE:	850
ADDRESS:	5200 DIAMOND HEIGHTS BLVD.		TELEPHONE:	(415) 550-1536
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94131
CAPACITY:	70	CENSUS: 58	DATE:	04/29/2025
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Kathy Tuwai		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Day care is in disrepair.

INVESTIGATION FINDINGS:

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On April 29, 2025 at approximately 8:30am, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, complaint visit. LPA met with director, Kathy Tuwai, and explained the purpose of the visit.

Facility is a combination preschool and infant programs. Under the preschool license, present during today’s visit included 58 children and 11 staff (including director). Under the infant license, present during today’s visit included 30 infants and 9 staff.

Throughout investigation, LPA conducted facility observations, obtained facility photographs, interviewed individuals, and reviewed facility records.

During LPA’s visit on February 13, 2025, LPA observed buckets of water in “outdoor” atrium due to leak from ceiling. On same date, LPA observed flooring in atrium to be wet due to ceiling leak, tape on flooring of atrium to be coming off, and padding on poles in atrium to be ripped and coming off. “Outdoor” atrium is a licensed area used by both preschool and infant children. LPA observed day care area to be in disrepair.
(Continue on 9099C...)

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 04/29/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2025

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-20250212162446

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ST. NICHOLAS DAY CARE AND PRESCHOOL	FACILITY NUMBER: 380504369
	VISIT DATE: 04/29/2025

NARRATIVE

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(Continued, Page 2...)
Based on observations and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, are being cited. Please refer to 9099D for more information.

A type B citation has been issued. A plan of correction was discussed with director. Appeal rights were provided.

Notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with director, Kathy Tuwai.

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 04/29/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 5

Control Number 05-CC-20250212162446

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ST. NICHOLAS DAY CARE AND PRESCHOOL	FACILITY NUMBER: 380504369
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/29/2025

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 05/29/2025 Section Cited CCR 101223(a)(2)	1 2 3 4 5 6 7	101223 Personal Rights (a) The licensee shall ensure that each child is according the following…(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	During LPA’s visit on this date, padding on poles of atrium have been replaced and are in good condition. Director stated they are working with church to fix ceiling and replace atrium flooring.
	8 9 10 11 12 13 14	Based on observation and interview, the “outdoor” atrium used by both preschool and infant children had a leak in the ceiling. Tape on flooring of atrium was observed to be coming off and padding on poles in atrium were observed to be ripped. This poses a potential health, safety or personal rights risks to children in care.	8 9 10 11 12 13 14
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	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 04/29/2025

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2025

LIC9099 (FAS) - (06/04)

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