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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384004525
Report Date: 07/07/2023
Date Signed: 07/07/2023 01:06:09 PM

Substantiated


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
05/19/2023 and conducted by Evaluator Luis Gomez
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20230519091750
FACILITY NAME:SWEET PEAS TOOFACILITY NUMBER:
384004525
ADMINISTRATOR:DIONNE, SAMANTHAFACILITY TYPE:
830
ADDRESS:2730 17TH STREETTELEPHONE:
(415) 701-0495
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY:32CENSUS: 22DATE:
07/07/2023
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Annette MedranoTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Staff do not provide infants with appropriate sleeping accommodations.
INVESTIGATION FINDINGS:
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On 7/7/2023 at 8:50AM., Licensing Program Analyst (LPA) Luis J. Gomez met with Assistant Director, Annette Medrano. Purpose of the inspection was explained and was for an Unannounced, Complaint Investigation. Present was the Assistant Director and 6 staff caring for 22 children. LPA inspected facility for health and safety hazards.

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

During the course of this investigation, observations were conducted on 5/26/2023, and 7/7/2023. A review of the facility records was complete, which included the staff records, children’s roster, and parent handbook. LPA conducted interviews staff, assistant director, and involved parties. (REFER TO LIC9099C, FOR CONT.)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2023
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 4
Control Number 05-CC-20230519091750
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: SWEET PEAS TOO
FACILITY NUMBER: 384004525
VISIT DATE: 07/07/2023
NARRATIVE
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(Page 2)
Regarding the allegations of staff do not provide infants with appropriate sleeping accommodations; Based on evidence collected; LPA determined allegation made is valid, with both infant and toddler programs combining groups during facility nap time.

Therefore, the preponderance of evidence standard has been met, with allegations found to be SUBSTANTIATED. California code of Regulations (Title 22, Section 12 Chapter 1) are being cited on attached 9099D.

Notice of site visit was provided to the facility. Website for Forms and Regulations: www.ccld.ca.gov. Appeal rights were provided to licensee.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 05-CC-20230519091750
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: SWEET PEAS TOO
FACILITY NUMBER: 384004525
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/07/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/14/2023
Section Cited
CCR
101438.3(b)
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101438.3(b) Infant Indoor Activity Space: Indoor activity space for infants shall be physically separate from space used by children in the child care center and school-age child care center components. This requirement was not met as evidenced by:
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Facility submit updated schedule to the Department, and ensure cohorts, Infant Program and Toddler Option, do not commingle at any time.
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Based on evidence collected; LPA determined allegation made is valid, with both infant and toddler programs combining groups during facility nap time. This poses a potential health and safety risk to children in care.
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Proof of correction will be submitted to the department by the due date: 7/14/2023 via email.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 4