384004495-12-13-2022-05-CC-DJOO-CM9TM7-20221219135041

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 384004495
Report Date: 12/13/2022
Date Signed: 12/13/2022 01:53:53 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
10/21/2022 and conducted by Evaluator Sheran Lo

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20221021123937

FACILITY NAME:	WU YEE CHILDREN'S SERVICES-SOUTHEAST ELC		FACILITY NUMBER:	384004495
ADMINISTRATOR:	ROWE, EUFEMIA BUENA		FACILITY TYPE:	850
ADDRESS:	1550 EVANS AVENUE		TELEPHONE:	(415) 230-7508
CITY:	SAN FRANCICO	STATE: CA	ZIP CODE:	94124
CAPACITY:	53	CENSUS: 22	DATE:	12/13/2022
		UNANNOUNCED	TIME BEGAN:	01:39 PM
MET WITH:	Eufemia Buena Rowe		TIME COMPLETED:	03:10 PM

ALLEGATION(S):

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Child sustained unexplained injuries while in care

INVESTIGATION FINDINGS:

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On December 13, 2022, Licensing Program Analyst (LPA), Sheran Lo conducted a subsequent complaint inspection and met with Director, Eufemia Buena Rowe, to discuss the above allegation. Purpose of the inspection was explained. Present is Director, 9 staff with 22 children.

During the course of the investigation, interviews were conducted with Director, parents, and relevant documents were gathered. Based on the interviews and relevant documents, there was no sufficient evidence to prove the child sustained unexplained injuries while in care. 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.

LPA conducted exit interview with Director. Report was provided. Notice of Site Visit shall be posted for 30 consecutive days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Sheran Lo
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2022

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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