384004643-7-26-2024-05-CC-GLEG-D7VR8F-20240806124748

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 384004643
Report Date: 07/26/2024
Date Signed: 07/26/2024 04:23:34 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
05/17/2024 and conducted by Evaluator Man Tso

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20240517153704

FACILITY NAME:	POTRERO HILL MONTESSORI SCHOOL		FACILITY NUMBER:	384004643
ADMINISTRATOR:	YANG, LIU		FACILITY TYPE:	850
ADDRESS:	1701 17TH STREET		TELEPHONE:	(650) 476-3015
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94103
CAPACITY:	54	CENSUS: 34	DATE:	07/26/2024
		UNANNOUNCED	TIME BEGAN:	02:45 PM
MET WITH:	(Jessica) Liu Yang		TIME COMPLETED:	04:35 PM

ALLEGATION(S):

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Staff touched child inappropriately

INVESTIGATION FINDINGS:

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On July 26, 2024, at 2.55PM, Licensing Program Analyst (LPA) Tso conducted an unannounced visit for delivery of the complaint investigation findings and met with the Director, (Jessica) Liu Yang. LPA explained the purpose of the inspection and were granted entry to the facility by the Director. Present, the Director, Assistant Director, and 9 staff are supervising 34 children.

During the course of the investigation, interviews were conducted with staff members and relevant documents were gathered. Based on the interviews and observation, there was no sufficient evidence to prove that the allegation listed above, occurred. 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.

Exit interview conducted and this report was reviewed with the Director whose signature confirm have read the report. Report must be made available for public review upon request. A copy of this report and appeal rights have been discussed and left with the Director. Notice of Site Visit shall remain posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Man Tso
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2024

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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