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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384004110
Report Date: 06/25/2026
Date Signed: 06/25/2026 01:09:03 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
04/08/2026 and conducted by Evaluator Luis Gomez
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20260408104823
FACILITY NAME:CREATIVE GARDENSFACILITY NUMBER:
384004110
ADMINISTRATOR:LAU, AGNESFACILITY TYPE:
850
ADDRESS:1429 VALENCIA STREETTELEPHONE:
(415) 577-8389
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY:56CENSUS: 35DATE:
06/25/2026
UNANNOUNCEDTIME BEGAN:
08:55 AM
MET WITH:Agnes Lau TIME COMPLETED:
01:25 PM
ALLEGATION(S):
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Child sustained unexplained injury while in care.
INVESTIGATION FINDINGS:
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On 6/25/2026 at 8:55AM., Licensing Program Analyst (LPA) Luis Gomez met with Teacher, Nina Johnson. The purpose of today’s inspection was explained and was for an unannounced, complaint inspection. The director, Agnes Lau arrived during inspection. Present was the director, 10 staff supervising 35 children. LPA inspection facility for health and safety hazards.

During today’s inspection, LPA conducted interviews, reviewed records, and site observation.
During the course of this investigation, on-site observation was conducted on: 4/24/2026, 6/11/2026, and 6/25/2026. The LPA reviewed facility records consisting of personnel files, children’s files, and incident reports. The LPA conducted interviews with director, staff, children, and involved parties. (REFER TO LIC9099C, FOR CONT.)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2026
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-20260408104823
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: CREATIVE GARDENS
FACILITY NUMBER: 384004110
VISIT DATE: 06/25/2026
NARRATIVE
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(PAGE 2)
Based on evidence collected, LPA was unable to determine if child sustained unexplained injury while in care. During interview, director indicated the staff maintain active supervision, and ensure all injuries are immediately treated and reported to families.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the complaint is Unsubstantiated.

The LPA conducted exit interview with Director, Agnes Lau and complaint investigation report was discussed. The Notice of Site Visit and the Provider Rights were given.

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2