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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004009
Report Date: 08/16/2023
Date Signed: 08/16/2023 01:32:35 PM

Document Has Been Signed on 08/16/2023 01:32 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:MEANINGFUL BEGINNINGS LLCFACILITY NUMBER:
384004009
ADMINISTRATOR:OZUNA, YARENAFACILITY TYPE:
830
ADDRESS:633 TARAVAL STREETTELEPHONE:
(415) 941-7965
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94116
CAPACITY: 49TOTAL ENROLLED CHILDREN: 49CENSUS: 26DATE:
08/16/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Yarena OzunaTIME COMPLETED:
01:45 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
 Licensing Program Analyst (LPA) Van conducted a case management inspection today in response to an unusual incident report received by the Department on August 1, 2023, in conjunction with case management regarding the Action Level Exceedance (ALE) of Lead at the Center. A separate case management report is created for the Action Level Exceedance (ALE). LPA met with site Director Yarena Ozuna. Today, the Center has nine teachers supervising 26 children. Among the 26 children, 11 are infants and 15 are toddlers.
The incident that occurred on July 31, 2023, involved a child's personal rights. A Center video footage showed a staff member (S1) pulling the child’s arm toward S1 to get the child to follow instructions. In today’s inspection, video footage of the incident was obtained and reviewed. The footage was consistent with what the facility Director had reported.
Following the incident, the facility reported the incident to the Licensing Department promptly. The Director took immediate action by conducting a staff meeting/training to discuss policies and procedures for providing care to children with dignity and respect. The meeting was conducted on August 4, 2023. Director also stated that the staff member involved in the incident was terminated from the position.
As a result, the following Title 22, Division 12, Chapter 1 deficiency of the California Code of Regulations (CCR) is being cited on the next page.
An exit interview was conducted and Plans of Corrections (POC) were developed and reviewed with the Site Director. A copy of this report and appeal rights were discussed and left with the Site Director, 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
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.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 08/16/2023 01:32 PM - It Cannot Be Edited


Created By: Brendon Van On 08/16/2023 at 01:21 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: MEANINGFUL BEGINNINGS LLC
FACILITY NUMBER: 384004009

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/16/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/18/2023
Section Cited
CCR
101223(a)(3)

1
2
3
4
5
6
7
101223-Personal Rights.
(a) The licensee shall ensure that each child is accorded the following personal rights:

Continue below..............
1
2
3
4
5
6
7
The facility immediately acted and terminated the party involved in the incident. In addition, Staff meeting and training were conducted to address the incident. The director stated that the record of the training materials and proof of attendance will be sent to LPA on August 18, 2023.
8
9
10
11
12
13
14
(3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. This requirement is not met, as evidenced by facility video footage, and the facility self-reported the unusual incident report.
8
9
10
11
12
13
14

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.
SUPERVISOR'S NAME:Garfield Leung
LICENSING EVALUATOR NAME:Brendon Van
LICENSING EVALUATOR SIGNATURE:
DATE: 08/16/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/16/2023


LIC809 (FAS) - (06/04)
Page: 2 of 2