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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384004346
Report Date: 02/15/2024
Date Signed: 02/15/2024 04:29:55 PM

Unsubstantiated


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
12/28/2023 and conducted by Evaluator Jennifer Yee
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20231228105620
FACILITY NAME:ACEVES, ROSAURAFACILITY NUMBER:
384004346
ADMINISTRATOR:ACEVES, ROSAURAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 424-6628
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94112
CAPACITY:14CENSUS: 4DATE:
02/15/2024
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Rosaura AcevesTIME COMPLETED:
04:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Day-care child sustained an unexplained injury while in care.
Licensee did not keep facility free of insects.
Licensee is operating out of ratio.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst, LPA Yee conducted a visit to close this complaint. The purpose of the visit was explained. Present at the facility are licensee, Rosaura, her daughter/helper and 4 children.

During the course of this investigation, LPA interviewed licensee, reporting party, a witness and 3 parents. Staff denied the allegations occurred at the daycare. 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.

This report will be kept in the Facility File and will be made available for Public Review upon request. Website for Forms and Regulations: www.ccld.ca.gov. This report, rights to comment, and appeal were discussed with licensee. Notice of Site Visit was provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jennifer Yee
LICENSING EVALUATOR SIGNATURE:

DATE: 02/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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