384004775-4-21-2025-05-CC-DJOO-DGMS75-20250513133654

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 384004775
Report Date: 04/21/2025
Date Signed: 04/21/2025 03:04:23 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
03/12/2025 and conducted by Evaluator Janet Gil

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20250312161438

FACILITY NAME:	APPLE TREE CHILDREN CENTER-INFANT		FACILITY NUMBER:	384004775
ADMINISTRATOR:	WEN, DONGXIA		FACILITY TYPE:	830
ADDRESS:	888 FOLSOM STREET		TELEPHONE:	(415) 695-4726
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94107
CAPACITY:	30	CENSUS: 6	DATE:	04/21/2025
		UNANNOUNCED	TIME BEGAN:	02:05 PM
MET WITH:	Dongxia Wen		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff handle infants in a rough manner.
Staff place pillows and blankets over infants.

INVESTIGATION FINDINGS:

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On April 21st, 2025, at approximatly 2:05 PM, Licensing Program Analyst (LPA) Janet Gil conducted an unannounced inspection in order to deliver findings on the complaint investigation for the above allegations. LPA Gil met with Director, Dongxia Wen, to discuss complaint allegation findings. Present during LPA’s visit included 3 staff(including director), and 6 enrolled infant children for the infant license. All adults working in the facility have on file fingerprint clearance.

Based on LPA observations,record reviews, and interviews which were conducted. The allegation may have happened or is valid, however there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview was conducted and a copy of this report was reviewed and provided to the Director, Dongxia Wen.

No deficiencies were issued today under Title 22 Division 12 of the California Code of Regulations.

NOTICE OF SITE VISIT WAS GIVEN AND SHALL REMAIN POSTED FOR 30 DAYS. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2025

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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