<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384002199
Report Date: 04/03/2025
Date Signed: 04/03/2025 11:22:56 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
02/20/2025 and conducted by Evaluator Sheran Lo
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20250220091055
FACILITY NAME:FACESSF - BAYVIEW PRESCHOOLFACILITY NUMBER:
384002199
ADMINISTRATOR:KING, ROBYNFACILITY TYPE:
850
ADDRESS:100 WHITNEY YOUNG CIRCLETELEPHONE:
(415) 821-7550
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94124
CAPACITY:92CENSUS: 48DATE:
04/03/2025
UNANNOUNCEDTIME BEGAN:
01:46 PM
MET WITH:Jonathan SkolnickTIME COMPLETED:
03:32 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility did not report incident to authorized representative in a timely manner
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On April 3, 2025, Licensing Program Analyst (LPA), Sheran Lo conducted a subsequent complaint inspection and met with CEO Jonathan Skolnick to discuss the above allegation. Purpose of the inspection was explained. Present is Director, 18 staff with 48 children in care.

Based on LPA’s interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegations is founded to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D.

LPA conducted exit interview with CEO Jonathan Skolnick. Report was provided. Notice of Site Visit shall be posted for 30 consecutive days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Sheran Lo
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025
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-20250220091055
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: FACESSF - BAYVIEW PRESCHOOL
FACILITY NUMBER: 384002199
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/03/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/30/2025
Section Cited
CCR
101226(a)(2)
1
2
3
4
5
6
7
101226 Health-Related Services (a) The licensee shall immediately notify the child's authorized representative... The licensee shall obtain specific instructions from the authorized representative (2) In the case of less serious injuries including, but not limited to, minor cut... the licensee shall document the injury in the child's record and notify the child's authorized representative of the nature of the injury when the child is picked up from the center.
This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Facility will retrain Licensing protocol, communication with parents, and planning staff structure.
8
9
10
11
12
13
14
Based on interviews, facility did not ensure to notify the child's authorized representative of incident, which poses a potential Health, Safety, and Personal Rights risk to persons in care.
8
9
10
11
12
13
14
Facility will email an update of plan with in 30 days.
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Sheran Lo
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2