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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384001093
Report Date: 04/17/2025
Date Signed: 04/17/2025 10:20:26 AM

Unsubstantiated


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
02/06/2025 and conducted by Evaluator Man Tso
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20250206141416
FACILITY NAME:EPIPHANY PARENT-CHILD CENTERFACILITY NUMBER:
384001093
ADMINISTRATOR:LYNETTE JONESFACILITY TYPE:
830
ADDRESS:100 MASONIC AVENUETELEPHONE:
(415) 567-8370
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94118
CAPACITY:30CENSUS: 4DATE:
04/17/2025
UNANNOUNCEDTIME BEGAN:
08:47 AM
MET WITH:Lynette JonesTIME COMPLETED:
10:35 AM
ALLEGATION(S):
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9
Staff inappropriately handled day care children
INVESTIGATION FINDINGS:
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2
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On April 17, 2025, at approximately 8.50AM, Licensing Program Analyst (LPA) Tso conducted an unannounced visit for delivery of the complaint investigation findings and met with the Site Director, Lynette Jones. LPA explained the purpose of the inspection and were granted entry to the facility by the Site Director. Present, the Site Director, 9 staff and 4 children in care (1 infant and 3 pre-school aged).

Based on information obtained during the course of this investigation through interviews and records review, there was no sufficient evidence to Allegation, Staff inappropriately handled day care children. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is UNSUBSTANTIATED.

Exit interview conducted and this report was reviewed with the Site Director whose signature confirms has read the report. Report must be made available for public review upon request. A copy of this report and appeal rights have been discussed and left with the Site Director. Notice of Site Visit shall remain posted for 30 days.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Man Tso
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2025
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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