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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 380505534
Report Date: 06/23/2023
Date Signed: 06/23/2023 12:22:22 PM

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
04/26/2023 and conducted by Evaluator Luis Gomez
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20230426122936
FACILITY NAME:FAMILY DEVELOPMENTAL CENTER (INFANT)FACILITY NUMBER:
380505534
ADMINISTRATOR:BELL, EBONYFACILITY TYPE:
830
ADDRESS:2730 BRYANT STREETTELEPHONE:
(415) 282-1090
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY:95CENSUS: 46DATE:
06/23/2023
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Mechele Pruitt, Dee LeeTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Facility smells of odor.
INVESTIGATION FINDINGS:
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On 6/23/2023 at 8:40AM., Licensing Program Analyst (LPA) Luis J. Gomez met with Co-education Director, Mechele Pruitt. Administrative Director, Dee Lee arrived during inspection. Purpose of the inspection was explained and was for an Unannounced, Complaint Investigation. Present was the Administrative Director, and 21 staff supervising 46 children. LPA inspected facility for health and safety hazards.

During inspection, LPA performed observations, interviews and reviewed facility records.

During the course of this investigation, observations were conducted on 5/3/2023 and 6/23/2023. A review of the facility records was complete, which included the staff records, children records, incident report log, and parent handbook. LPA conducted interviews staff and involved parties. (REFER TO LIC9099C, FOR CONT.)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2023
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 2
Control Number 05-CC-20230426122936
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: FAMILY DEVELOPMENTAL CENTER (INFANT)
FACILITY NUMBER: 380505534
VISIT DATE: 06/23/2023
NARRATIVE
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(Page 2)
On 5/4/2023, children in butterfly classroom were moved to the 'Community Room', after reports of a foul odor. Per Administration Director, a service order was immediately sent to SFUSD, building and grounds department. Per Administrative Director, after an inspection and repairs were complete, the butterfly classroom was reopened for childcare service. Although the allegations of facility smells of odor may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are found to be 'Unsubstantiated.'

Exit interview was conducted with the Administrative Director, Dee Lee.

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2