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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384000037
Report Date: 03/21/2023
Date Signed: 03/21/2023 10:41:39 AM

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
03/16/2023 and conducted by Evaluator Winnie Ly
COMPLAINT CONTROL NUMBER: 05-CC-20230316103608
FACILITY NAME:ALTA PLAZA PRESCHOOLFACILITY NUMBER:
384000037
ADMINISTRATOR:ERIKA TINOCOFACILITY TYPE:
850
ADDRESS:2140 PIERCE STREETTELEPHONE:
(415) 928-6483
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94115
CAPACITY:30CENSUS: 19DATE:
03/21/2023
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Erika TinocoTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Day-care child was left unattended at a park.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On March 21, 2023, at approximately 10:00am, Licesing Program Analyst (LPA) arrived at facility to conduct a complaint investigation to the above allegation. LPA met with Site Executive Director Erika Tinoco. There were 4 staff including the Directior caring for 19 children during today's visit.

During today's visit, LPA interviewed Site Director to confirm information recieved by the department. Based on information received, the preponderance of evidence standards has been met, therefore, the above allegation is found to be SUBSTANTIATED. A Type “A” violation and an Immidiate Civil Penaly of $500 were issued on 03/15/2023. Refer to LIC 809D dated 03/15/2022.

This facility will be scheduled for a Non- Compliance conference at the Peninsula Regional Office.

A copy of this report and appeal rights were discussed and left with Site Director whose signature on this form confirm receipt of reports. Notice of Site Visit was provided to Director. Director was advised Notice of Site Visit to remain posted for 30 days. For updates on Licensing information, go to CCL website: www.ccld.ca.gov. For Provider Information Notice: ccld.ca.gov/PG5098.htm
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Winnie Ly
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2023
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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