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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384001308
Report Date: 10/06/2025
Date Signed: 10/06/2025 04:44:39 PM

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
08/20/2025 and conducted by Evaluator Hanson Leong
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20250820095250
FACILITY NAME:LAM, DONG GUIFACILITY NUMBER:
384001308
ADMINISTRATOR:LAM, DONG GUI S.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 290-8549
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94118
CAPACITY:14CENSUS: 5DATE:
10/06/2025
UNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Dong LamTIME COMPLETED:
04:50 PM
ALLEGATION(S):
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- Staff left day care children unsupervised while in care.

- Staff did not allow day care child's authorized representative(s) to enter and inspect the facility while day care child was in care.

- Licensee did not inform day care child's authorized representative(s) of their rights as required.
INVESTIGATION FINDINGS:
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On October 6, 2025, Licensing Program Analysts (LPAs) Leong and Van conducted an unannounced complaint investigation to deliver the findings and close the complaint. LPAs met with licensee Dong Lam and explained the purpose of the investigation.

Five children (three pre-k and two infants) and two adults were present during today’s visit.

All relevant information was collected and analyzed during the LPA investigation, and all parties involved were contacted and interviewed. Based on the information obtained from the LPA investigation, the allegations listed above were unsubstantiated, meaning it may have happened or is valid, there is no preponderance of evidence to prove the violations did or did not occur.

No deficiencies were issued from the LPA’s complaint investigation.
Appeal rights were given to the licensee.
A Notice of Site Visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the Licensee, Dong Lam
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2025
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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