384004402-8-31-2022-05-CC-DJOO-CHTW4Z-20220831165822

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 384004402
Report Date: 08/26/2022
Date Signed: 08/31/2022 04:39:02 PM

Unsubstantiated

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
08/11/2022 and conducted by Evaluator Nathan Garcia

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20220811144845

FACILITY NAME:	KAI MING PMSQUARE CHILDREN'S CENTER-PS		FACILITY NUMBER:	384004402
ADMINISTRATOR:	SUSANNA LEUNG		FACILITY TYPE:	850
ADDRESS:	671 CHINA BASIN STREET		TELEPHONE:	(415) 982-4777
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94158
CAPACITY:	20	CENSUS: 15	DATE:	08/26/2022
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Gabriela Rivera		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Staff handled child in a physically inappropriate manner.

INVESTIGATION FINDINGS:

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On 8/26/2022, Licensing Program Analyst (LPA), Garcia and LPM Oquendo made an unannounced visit to the Kai Ming Pre-school facility to deliver the findings and close out a complaint. LPA was granted entry by Regional Manager, Gabriela Rivera and LPA explained the purpose of the visit. All the facility's staff members have had their criminal background checks cleared by Guardian. During the visit, there were 15 preschool children with 4 staff members, 2 substitute, 1 lead teacher and 1 substitute assistant teacher.

During the course of the investigation, interviews were conducted with children, Regional Manager, staff, and relevant documents were gathered. Based on the interviews and relevant documents, there was no sufficient evidence to prove that the staff handled child in a physically inappropriate manner. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is Unsubstantiated.

Appeal rights was discussed with the Regional Manager, Gabriela Rivera.

A copy of this report and the licensee's “Appeal Rights” were given to the regional manager.

Exit interview conducted and report was reviewed with the Regional manager, Gabriela Rivera.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Nathan Garcia
LICENSING EVALUATOR SIGNATURE:	DATE: 08/26/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2022

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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