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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 380504700
Report Date: 06/21/2023
Date Signed: 06/21/2023 01:37:20 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
05/15/2023 and conducted by Evaluator April Cowan
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20230515190624
FACILITY NAME:JCCSF LOISE& CLAUDE ROSENBERG EARLY CHILDHOOD CTRFACILITY NUMBER:
380504700
ADMINISTRATOR:DOTSON, KELLYFACILITY TYPE:
850
ADDRESS:325 ARGUELLO BLVD.TELEPHONE:
(415) 386-4999
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94118
CAPACITY:59CENSUS: 50DATE:
06/21/2023
UNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Kelly DotsonTIME COMPLETED:
01:47 PM
ALLEGATION(S):
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Facility staff member made an inappropriate comment to day care child

Facility staff member had an inappropriate interaction with day care child
INVESTIGATION FINDINGS:
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On June 21, 2023 at Licensing Program Analyst (LPA) met with site director, Kelly Dotson, for an unannounced subsequent complaint inspection. The purpose of inspection was explained. Present in the facility is director and 15 staff caring for 50 children.

During the course of investigation, interviews were conducted with director and staff. It has been determined that a staff member did behave inappropriately with a child in care. Site director has been proactive in retraining staff on the facility's policies. Based on LPA’s interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegations are founded to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: April Cowan
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2023
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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Control Number 05-CC-20230515190624
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: JCCSF LOISE& CLAUDE ROSENBERG EARLY CHILDHOOD CTR
FACILITY NUMBER: 380504700
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/21/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/21/2023
Section Cited
CCR
101223(a)(1)
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101223 Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights:
(1) To be accorded dignity in his/her personal relationships with staff and other persons. This regulation was not met as evidenced by:
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On May 16, 2023, site director retrained staff member on how to interact with children.
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Based on LPA's interviews, it was found that a staff member did behave inappropriately with a child in care. This is a potential risk to children 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: Garfield Leung
LICENSING EVALUATOR NAME: April Cowan
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2