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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384003053
Report Date: 07/08/2026
Date Signed: 07/08/2026 01:46:31 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
05/18/2026 and conducted by Evaluator Sheran Lo
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20260518165029
FACILITY NAME:KIYASU, EMILYFACILITY NUMBER:
384003053
ADMINISTRATOR:KIYASU, EMILYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 370-7010
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94109
CAPACITY:14CENSUS: 8DATE:
07/08/2026
UNANNOUNCEDTIME BEGAN:
09:39 AM
MET WITH:Emily KiyasuTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee is operating beyond the terms and conditions of the license.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On July 8, 2026, Licensing Program Analyst (LPA), Sheran Lo conducted a subsequent complaint inspection and met with Licensee Emily Kiyasu to discuss the above allegation. Purpose of the inspection was explained. Present is Licensee, three helpers with 8 children.

During the course of the investigation, interviews were conducted with Licensee, parents, and relevant documents were gathered. Based on the interviews and relevant documents, there was no sufficient evidence to prove that Licensee is operating beyond the terms and conditions of the license. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is Unsubstantiated.

LPA conducted exit interview with Licensee Emily Kiyasu. Report and Notice of Site Visit was provided. Notice of Site Visit will be posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Sheran Lo
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026
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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