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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384004006
Report Date: 06/22/2023
Date Signed: 06/22/2023 12:53:50 PM

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
05/18/2023 and conducted by Evaluator April Cowan
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20230518145620
FACILITY NAME:STRATFORD SCHOOLS-SF 14TH AVE.FACILITY NUMBER:
384004006
ADMINISTRATOR:ANDREWS, LAYSANFACILITY TYPE:
850
ADDRESS:645 14TH AVENUETELEPHONE:
(415) 521-1535
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94118
CAPACITY:77CENSUS: 12DATE:
06/22/2023
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Laysan AndrewsTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Facility staff are not adequately supervising day care children.
INVESTIGATION FINDINGS:
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On June 22, 2023 t 11:30 AM, Licensing Program Analyst (LPA) met with site director, Laysan Andrews, for an unannounced subsequent complaint inspection. The purpose of inspection was explained. Present in the facility is director and 2 staff caring for 12 children.
In today’s inspection, LPA along with licensee inspected for health and safety hazards. LPA observed no deficiencies during inspection.
During the course of investigation, LPA interviewed director and staff. It has been determined that when using bathrooms in the gym, staff was not able to fully monitor children in the bathroom as staff waited by the bathroom door.

Based on LPA’s interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is founded to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: April Cowan
LICENSING EVALUATOR SIGNATURE:

DATE: 06/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2023
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-20230518145620
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: STRATFORD SCHOOLS-SF 14TH AVE.
FACILITY NUMBER: 384004006
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/22/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/29/2023
Section Cited
CCR
101229(a)(1)
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101229 Responsibility for Providing Care and Supervision
(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement was not met as evidenced by:
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Site director agrees to train staff on bathroom protocol for children in care by June 29, 2023. Director will email LPA the meeting agenda and include the signatures of all staff in attendance.
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Based on interviews, staff were not able to visibly see day care children while children were in bathrooms as staff waited by the door. This is a potential risk to children 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: Garfield Leung
LICENSING EVALUATOR NAME: April Cowan
LICENSING EVALUATOR SIGNATURE:

DATE: 06/22/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
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
05/18/2023 and conducted by Evaluator April Cowan
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20230518145620

FACILITY NAME:STRATFORD SCHOOLS-SF 14TH AVE.FACILITY NUMBER:
384004006
ADMINISTRATOR:ANDREWS, LAYSANFACILITY TYPE:
850
ADDRESS:645 14TH AVENUETELEPHONE:
(415) 521-1535
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94118
CAPACITY:77CENSUS: 12DATE:
06/22/2023
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Laysan AndrewsTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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- Facility staff are not providing day care children an adequate amount of snack food.
- Facility staff are not qualified.
- Facility is out of ratio.
- Facility employee records are incomplete.
- Facility staff do not properly handle day care children's clothing items.
INVESTIGATION FINDINGS:
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On June 22, 2023 t 11:30 AM, Licensing Program Analyst (LPA) met with site director, Laysan Andrews, for an unannounced subsequent complaint inspection. The purpose of inspection was explained. Present in the facility is director and 2 staff caring for 12 children.
In today’s inspection, LPA along with licensee inspected for health and safety hazards. LPA observed no deficiencies during inspection. LPA observed that children had an adequate amount of snack during inspection. Staff states that children receive additional snacks if children are still hungry. LPA observed that children's items were properly labeled and stored, and LPA observed proper ratios.

During the course of investigation, LPA interviewed director and staff, and LPA reviewed facility records. LPA reviewed 5 staff's files and 5 children's files. Facility files were complete with all required Licensing documents. LPA observed that all teachers had qualifications on file.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: April Cowan
LICENSING EVALUATOR SIGNATURE:

DATE: 06/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3