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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384004392
Report Date: 02/14/2025
Date Signed: 02/14/2025 09:44:26 AM

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
12/20/2024 and conducted by Evaluator Man Tso
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20241220121055
FACILITY NAME:MISSION HEAD START- LA FENIX AT 1950(INF)FACILITY NUMBER:
384004392
ADMINISTRATOR:URIARTE, MERCEDESFACILITY TYPE:
830
ADDRESS:1954 MISSION ST. STE. ATELEPHONE:
(415) 206-7752
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94103
CAPACITY:22CENSUS: 11DATE:
02/14/2025
UNANNOUNCEDTIME BEGAN:
08:59 AM
MET WITH:Mercedes UriarteTIME COMPLETED:
10:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Child sustained unexplained injuries while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On February 14, 2025, at 8.35AM, Licensing Program Analyst (LPA) Tso conducted an unannounced visit for delivery of the complaint investigation findings and met with the Director, Mercedes Uriarte. LPA explained the purpose of the inspection and were granted entry to the facility by the licensee. Present, the Director, 9 staff are supervising 11 children.

Based on information obtained during the course of this investigation through interviews, observation and records review, there was no sufficient evidence to Allegation, Child sustained unexplained injuries while in care. 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 allegation is UNSUBSTANTIATED.

Exit interview conducted and this report was reviewed with the Director whose signature confirm have read the report. Report must be made available for public review upon request. A copy of this report and appeal rights have been discussed and left with the Director. Notice of Site Visit shall remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Man Tso
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2025
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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