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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384004855
Report Date: 11/07/2025
Date Signed: 11/07/2025 11:24:27 AM

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
10/02/2025 and conducted by Evaluator Jennifer Yee
COMPLAINT CONTROL NUMBER: 05-CC-20251002124358
FACILITY NAME:YMCA SF/MISSION BRANCH-VILLA DE KAPUSOFACILITY NUMBER:
384004855
ADMINISTRATOR:TERESA NAVIDAFACILITY TYPE:
860
ADDRESS:2350 SAN JOSE AVENUETELEPHONE:
(415) 846-0933
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94112
CAPACITY:50CENSUS: 30DATE:
11/07/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Ma NatividadTIME COMPLETED:
11:45 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff inappropriately handled daycare child, causing injury.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst, LPA Yee conducted a visit to close this complaint. Present at the facility were site director, Ma Natividad, 7 staff members, 24 preschool children and 6 infants children. During the investigation, LPA interviewed the reporting party, site director, program director, three staff members, and video footages were reviewed.

Based on the information obtained this complaint finding is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

This report was read and explained to the facility's representative.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jennifer Yee
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2025
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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