<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384004865
Report Date: 06/05/2025
Date Signed: 06/05/2025 02:02:10 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
03/28/2025 and conducted by Evaluator Catrina Quimbo
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20250328104112
FACILITY NAME:RODRIGUEZ, ANA SARAFACILITY NUMBER:
384004865
ADMINISTRATOR:ANA SARA RODRIGUEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 516-7818
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94132
CAPACITY:12CENSUS: 8DATE:
06/05/2025
UNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Ana Sara RodriguezTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee inappropriately handled child in care.
Licensee disciplines child inappropriately.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On June 5, 2025 at approximately 1:10pm, Licensing Program Analyst (LPA) Quimbo conducted an unannounced, complaint visit. LPA met with licensee, Ana Sara Rodriguez, and explained the purpose of the visit.

Present during LPA’s visit included licensee, licensee’s assistant (S1), and 8 children (2 infants and 6 preschool age). Adults present have fingerprint clearance on file. Licensee is operating within capacity limits and ratio during LPA’s visit.

During investigation, LPA interviewed licensee, toured home, obtained and reviewed facility records, and interviewed random selection of parents.

Licensee stated children are redirected as a form of discipline. Facility records document that licensee speaks with children when discussing rules. Per licensee, children are reminded daily to keep calm bodies for the health and safety of all children present.
(Continue report on page 2...)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2025
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-20250328104112
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: RODRIGUEZ, ANA SARA
FACILITY NUMBER: 384004865
VISIT DATE: 06/05/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
(Continued, Page 2...)
Random selection of parents interviewed stated licensee does not discipline children, speaks with children only and maintains communication with families. During LPA’s visits conducted to the home, LPA did not observe licensee or licensee’s assistants inappropriately handling children in care nor disciplining children.

Although the above allegations may have happened or are valid, based on LPA’s interviews and record review which were conducted, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

No deficiencies were issued today during LPA’s visit.

Notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee, Ana Sara Rodriguez.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2