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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384004855
Report Date: 01/13/2026
Date Signed: 01/13/2026 01:44:21 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
12/02/2025 and conducted by Evaluator Jennifer Yee
COMPLAINT CONTROL NUMBER: 05-CC-20251202092243
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: 29DATE:
01/13/2026
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Katia PerezTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Fully qualified teacher was not in the classroom.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Yee conducted an inspection to investigate and close the complaint. Present at the facility were 22 preschool children, 7 infants, and 8 staff members. The program director arrived during the inspection.

During the investigation, the LPA interviewed the program director and reviewed video footage and facility records.

Based on records reviewed, Preschool Room #1 does not have fully qualified teacher in the classroom for approximately 30 minutes while the fully qualified teacher was on lunch break. During this time, one child was awake and supervised by a teacher assistant.

Based on interviews, records reviewed, and observations, the preponderance of evidence standard has been met; therefore, the above allegation(s) is found SUBSTANTIATED. California Code of Regulations are being cited on the attached LIC 9099D.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jennifer Yee
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2026
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 2
Control Number 05-CC-20251202092243
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: YMCA SF/MISSION BRANCH-VILLA DE KAPUSO
FACILITY NUMBER: 384004855
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/13/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/13/2026
Section Cited
CCR
101216.1(c)(1)
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101216.1(c)(1) Teacher Qualifications and Duties:Twelve post-secondary semester or equivalent quarter units in early childhood education or child development completed, with passing grades, at an accredited or approved college or university; and at least six months of work experience in a licensed child care center or comparable group child care program
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The fully qualified teacher came back to lunch within half hours. Program director is now aware and the facility will ensure they will always have fully qualified teacher supervising the children.
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This requirement is not met as evidenced by:

Reviewing the staff files. The staff does not have 12 ECE units covering for the fully qualified teacher who was out to lunch. This is a potential health and safety hazard.
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 ** deficiency is corrected.
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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: Jennifer Yee
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2