384004495-6-26-2024-05-CC-DJOO-D6TQNR-20240703121933

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 384004495
Report Date: 06/26/2024
Date Signed: 06/26/2024 04:00:54 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
06/24/2024 and conducted by Evaluator Sheran Lo

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20240624104604

FACILITY NAME:	WU YEE CHILDREN'S SERVICES-SOUTHEAST ELC		FACILITY NUMBER:	384004495
ADMINISTRATOR:	PALAFOX, ROSAMARIA		FACILITY TYPE:	850
ADDRESS:	1550 EVANS AVENUE		TELEPHONE:	(415) 230-7508
CITY:	SAN FRANCICO	STATE: CA	ZIP CODE:	94124
CAPACITY:	53	CENSUS: 31	DATE:	06/26/2024
		UNANNOUNCED	TIME BEGAN:	12:07 PM
MET WITH:	Rosa Palafox		TIME COMPLETED:	04:08 PM

ALLEGATION(S):

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-Lack of supervision resulting in daycare child sustaining an injury.
-Staff did not inform daycare child's authorized representative of incident involving child.

INVESTIGATION FINDINGS:

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On June 26, 2024, Licensing Program Analyst (LPA), Sheran Lo conducted a complaint inspection and met with Director Rosa Palafox to discuss the above allegation. Purpose of the inspection was explained. Present were Director, 9 staff with 31 children in care.

During the course of the investigation, interviews were conducted with Director, and relevant documents were gathered. Based on the interviews and relevant documents, there was no sufficient evidence to prove the facility had lack of supervison or not inform authorized representative of incident. 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 and Notice of Site Visit 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: 06/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2024

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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