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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384001807
Report Date: 09/21/2022
Date Signed: 09/21/2022 10:09:30 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
04/01/2022 and conducted by Evaluator Hanson Leong
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20220401150900
FACILITY NAME:BRIGHT HORIZONS @ SECOND STREET - INFANTFACILITY NUMBER:
384001807
ADMINISTRATOR:TROIA, KATHARINEFACILITY TYPE:
830
ADDRESS:303 SECOND STREET,2ND FL.,#250TELEPHONE:
(415) 495-2500
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94107
CAPACITY:38CENSUS: DATE:
09/21/2022
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Christine HerndonTIME COMPLETED:
10:24 AM
ALLEGATION(S):
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Fail to report an unusual incident that threatens the physical or emotional health or safety of any child.within one business day.
INVESTIGATION FINDINGS:
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On 9/21/2022, Licensing Program Analyst (LPA), Hanson Leong, made an unannounced conclusionary complaint visit to the Bright Horizons @ Second St facility. The LPA was granted entry by the Director, Christine Herndon. The LPA explained the purpose of the visit to the director. Guardian, the department's system for conducting background checks, has confirmed that all the individuals listed on the facility’s roster have been granted permission to work or be present in a childcare facility. The LPA observed three teachers supervising one infant inside the facility. Children's capacity and ratio requirements were observed to be in compliance. Allegations were investigated by the Department’s Investigative Branch (IB)

All relevant information was gathered and analyzed during the IB investigation, and all parties involved were contacted and interviewed. Based on information obtained from the IB investigation, the preponderance of evidence standard has been met, therefore the above allegation, fail to report an unusual incident that threatens the physical or emotional health or safety of any child.within one business day, is found to be substantiated. ***See Page 2 for continuation***

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2022
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 3
Control Number 05-CC-20220401150900
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: BRIGHT HORIZONS @ SECOND STREET - INFANT
FACILITY NUMBER: 384001807
VISIT DATE: 09/21/2022
NARRATIVE
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Continued, Page 2
Appeal rights was discussed with the director.

The initial "Notice of Site Visit" was given to the director on 9/13/2022.

A copy of this report and the licensee's “Appeal Rights” were given to the Director,

Exit interview conducted and report was reviewed with the Director, Christine Herndon


SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 05-CC-20220401150900
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: BRIGHT HORIZONS @ SECOND STREET - INFANT
FACILITY NUMBER: 384001807
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/21/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/21/2022
Section Cited
CCR
101212(d)(1)(C)
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(d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax
This requirement is not met as evidenced by...

Based on interviews and record reviews, the licensee did not report an usual incident within one business day, which poses a potential health and safety risk to persons in care.

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LPA made a request to the facility that a meeting for the staff be held in regard to the reporting of an unusual incident. LPA made a request that the director turn in a document that contains the subject matter as well as the signatures of every staff member who was present at the meeting.
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Based on interviews and record reviews, the licensee did not report a usual incident within one business day, which poses a potential health and safety risk to persons 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: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3