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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384004177
Report Date: 05/14/2024
Date Signed: 05/14/2024 01:16:42 PM

Substantiated


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
02/21/2024 and conducted by Evaluator Man Tso
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20240221130644

FACILITY NAME:LAUREL HEIGHTS CHILD DEVELOPMENT CENTER(INFANT)FACILITY NUMBER:
384004177
ADMINISTRATOR:KRISTINA LANGNERFACILITY TYPE:
830
ADDRESS:2675 GEARY BLVD, SUITE 400TELEPHONE:
(415) 306-4730
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94118
CAPACITY:64CENSUS: 39DATE:
05/14/2024
UNANNOUNCEDTIME BEGAN:
11:58 AM
MET WITH:Elizabeth ChrismanTIME COMPLETED:
01:25 PM
ALLEGATION(S):
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Staff did not inform the parent for the child feeling unwell
INVESTIGATION FINDINGS:
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On May 14, 2024, at approximately 11.15am, Licensing Program Analyst (LPA) Tso conducted a visit for delivery of the complaint investigation findings and met with the Director Elizabeth Chrisman. Present during the inspection was the Director, 14 teachers, caring for 39 children.

Based on LPA’s gathered information through observation, interviews and records reviews, the agency has investigated the complaint allegation above. The facility did not comply with the parental rights regulations. The facility did not inform the parent whose child was unwell. The preponderance of evidence standard has been met. The above allegation is found to be SUBSTANTIATED. A Type B violation was issued today, May 14, 2024 in accordance with the California Code of Regulations, Title 22, Division 12 & Chapter 3, citation was being cited on the attached LIC 9099D.

Exit interview conducted and a copy of this report and appeal rights were discussed and left with the Director, Elizabeth Chrisman, whose signature on this form confirms receipt of these reports. Notice of Site Visit (The Notice) was provided. The Notice to remain posted for 30 days.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Man Tso
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024
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 4
Control Number 05-CC-20240221130644
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: LAUREL HEIGHTS CHILD DEVELOPMENT CENTER(INFANT)
FACILITY NUMBER: 384004177
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/14/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/28/2024
Section Cited
CCR
101218.1(a)(2)(B)
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101218.1 Admission Procedures and Parental and Authorized Representative's Rights (a) In accordance with the child care center's individual program, policies and needs, the licensee shall develop, implement and maintain an admission procedure that enables the person in charge of admissions to:
(2) Conduct one or more personal interviews with the child's parent or authorized representative that meets the following requirements:
(B) Provides the child's parent or authorized representative with information about the child care center that shall at least include the child care center's admission policies and procedures, activities, services, regulations, hours and days of operation, fees, procedures to be followed should the child become ill or injured while at the child care center, and procedures for conducting inspections for illness.

This requirement is not met as evidenced by:
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The Director should train the staff to ensure the Parental and Authorized Representative's Rights. Email LPA agenda and a signature of all in attendance by 5/28/2024.
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Based on observation, interviews and record review, the facility did not comply with the section cited above for not informing the parent whose child was unwell, which poses a potential health, safety, or personal rights risk to persons 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: Man Tso
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4