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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384002455
Report Date: 08/16/2023
Date Signed: 08/16/2023 05:43:27 PM

Unsubstantiated


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
06/01/2023 and conducted by Evaluator Brendon Van
COMPLAINT CONTROL NUMBER: 05-CC-20230601151705
FACILITY NAME:GROWING TREE SCHOOL LLC, THE (INF)FACILITY NUMBER:
384002455
ADMINISTRATOR:WU, PEI ZHENFACILITY TYPE:
830
ADDRESS:1984 GREAT HIGHWAYTELEPHONE:
(415) 682-8889
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94116
CAPACITY:28CENSUS: 22DATE:
08/16/2023
UNANNOUNCEDTIME BEGAN:
03:25 PM
MET WITH:Qi Na Huang and Maggie PoonTIME COMPLETED:
06:00 PM
ALLEGATION(S):
1
2
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5
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7
8
9
Staff is providing care and supervision to infants without the required qualifications
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
 On August 16, 2023., Licensing Program Analyst (LPA) Van conducted an unannounced inspection to finalize this complaint and deliver the findings to the Center. LPA met with the assistant supervisor, Qi Na Huang. The purpose of the inspection was explained, and entry to the Center was granted. Seven staff members supervised 22 infants. The owner, Maggie Poon, arrived during the inspection.
During the course of the investigation, Staff members were interviewed, sign-in/out sheets were evaluated, and compared to staff schedules. Infant teachers’ qualifications were also reviewed and compared with the staffing schedule. During today’s inspection and the inspection conducted on 6/6/2023, LPA observed that the facility was operating within the licensed capacity and ratio and had adequate qualified staff working with the infants.
Based on the information gathered, there is insufficient evidence to support that staff at the Center is providing care and supervision to infants without the required qualifications allegations. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that violations did or did not occur. Therefore, this allegation is closed as Unsubstantiated.
An exit inspection was conducted with the owner, Maggie Poon. A copy of this report and appeal rights were discussed and left with the owner, whose signature on this form confirms receipt of these reports. Notice to be 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
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2023
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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