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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384004176
Report Date: 12/20/2022
Date Signed: 12/20/2022 01:31:29 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
10/31/2022 and conducted by Evaluator Cindy Mok
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20221031144652
FACILITY NAME:LAUREL HEIGHTS CHILD DEVELOPMENT CENTER(PS)FACILITY NUMBER:
384004176
ADMINISTRATOR:NOREEN N. KINOHIFACILITY TYPE:
850
ADDRESS:2675 GEARY BLVD. SUITE 400TELEPHONE:
(415) 490-5204
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94118
CAPACITY:110CENSUS: 61DATE:
12/20/2022
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Kristina LangnerTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Staff handled daycare children roughly while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Mok conducted an unannounced inspection to finalize this complaint today. LPA met with the Site Director, Kristina Langner, and explained the purpose of the Inspection to her. There were 61 children with 14 staff present. Based on the interviews CCL conducted, there was a sufficient evidence to prove a staff handled daycare children roughly while in care; the faciity determined the Staff after the incident.

Based on the interviews which were conducted, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 12 & Chapter 3) are being cited on the attached LIC 9099D.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy MokTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2022
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-20221031144652
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: LAUREL HEIGHTS CHILD DEVELOPMENT CENTER(PS)
FACILITY NUMBER: 384004176
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/20/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/21/2022
Section Cited
CCR
101223(a)(1)
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101223(a)(1) Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her personal relationships with staff and other persons.
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The licensee provided the training to all Staff after the incident. LPA obtained the training material and a list of the Staff who completed the Positive Guidance at Bright Horizons training from the licensee. This deficiency was cleared during the Inspection.
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This requirement was not met as evidenced by based upon interviews. A staff handled a daycare child roughly while in care; the facility terminated the staff after the incident. This poses a potential health 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.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy MokTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2022
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
CCLD Regional Office, 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
10/31/2022 and conducted by Evaluator Cindy Mok
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20221031144652

FACILITY NAME:LAUREL HEIGHTS CHILD DEVELOPMENT CENTER(PS)FACILITY NUMBER:
384004176
ADMINISTRATOR:NOREEN N. KINOHIFACILITY TYPE:
850
ADDRESS:2675 GEARY BLVD. SUITE 400TELEPHONE:
(415) 490-5204
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94118
CAPACITY:110CENSUS: 61DATE:
12/20/2022
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Kristina LangnerTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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9
* Facility was out of ratio

* Unqualified staff provided care and supervision to daycare children
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Mok conducted an unannounced inspection to finalize this complaint today. LPA met with the Site Director, Kristina Langner, and explained the purpose of the Inspection to her. There were 61 children with 14 staff present. Based on the interviews conducted and relevant documents CCL gathered, there was no sufficient evidence to prove the facility was out of ratio due to short staff and unqualified staff provided care and supervision to the daycare children.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur. Therefore, the allegation is Unsubstantiated.”
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy MokTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2022
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