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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384004477
Report Date: 04/16/2024
Date Signed: 04/16/2024 04:28:33 PM

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
03/01/2024 and conducted by Evaluator Luis Gomez
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20240301141304
FACILITY NAME:BANANA FANA PRESCHOOLFACILITY NUMBER:
384004477
ADMINISTRATOR:CASTILLO, CAROLINAFACILITY TYPE:
850
ADDRESS:2701 FOLSOM STREETTELEPHONE:
(415) 654-5114
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY:40CENSUS: 33DATE:
04/16/2024
UNANNOUNCEDTIME BEGAN:
01:55 PM
MET WITH:Carolina Castillo TIME COMPLETED:
04:35 PM
ALLEGATION(S):
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9
Staff left crying day-care child unattended.
INVESTIGATION FINDINGS:
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On 4/16/2024 at 1:55PM., Licensing Program Analyst (LPA), Luis Gomez met with Director, Carolina Castillo. The purpose of today's inspection was explained and was for an unannounced complaint investigation. Present was the director and 9 staff supervising for 33 children. Children present had been properly signed in. Facility was inspected for health and safety hazards.

During inspection, LPA performed observations, interviews, and reviewed facility records.

As part of this investigation, observations were conducted on 3/6/2024 and 4/16/2024. A review of the facility records was also complete, which included the children’s files, personnel files, parent handbook, discipline policies and practice. LPA conducted interviews with director, staff, random sampling of parents, children, and involved parties. (REFER TO 809C FOR CONT.)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2024
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 2
Control Number 05-CC-20240301141304
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: BANANA FANA PRESCHOOL
FACILITY NUMBER: 384004477
VISIT DATE: 04/16/2024
NARRATIVE
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(Page 2)
Based on evidence collected; LPA was unable to determine if staff left crying day-care child unattended. Parent handbook states appropriate intervention strategies are used by staff, including verbal redirection and one-to-one, teacher- child breaks.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. No Deficiencies were cited.

LPA conducted exit interview with the Director, Carolina Castillo. Report was explained and Notice of Site Visit was given.

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.

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2