410500083-3-16-2023-05-CC-AZEA-CQPPT4-20230408113515

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 410500083
Report Date: 03/16/2023
Date Signed: 03/16/2023 12:32:50 PM

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
03/08/2023 and conducted by Evaluator Luis Gomez

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20230308163716

FACILITY NAME:	BUNKER HILL PARENTS PARTICIPATION NURSERY SCHOOL		FACILITY NUMBER:	410500083
ADMINISTRATOR:	TEELE, TIFFANY M.		FACILITY TYPE:	850
ADDRESS:	2145 BUNKER HILL DR, RM. 3-6		TELEPHONE:	(650) 349-1581
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94402
CAPACITY:	24	CENSUS: 13	DATE:	03/16/2023
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Tiffany Teele		TIME COMPLETED:	12:35 PM

ALLEGATION(S):

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Facility does not have adequate staffing to care and supervise day care children.
Staff did not communicate with authorized representatives in a timely manner.

INVESTIGATION FINDINGS:

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On 3/16/2023 at 8:45AM., Licensing Program Analyst (LPA), Luis J. Gomez met with Director, Tiffany Teele. Purpose of inspection was explained and was for an unannounced, complaint investigation. Present was the director, one staff, nine parents supervising 13 children. Children present had been properly signed-in. LPA inspected facility with director for health and safety hazards.

During today's inspection, LPA performed site observations, interviews with staff/ director, and reviewed facility records.

During the course of the investigation, site observations were conducted on 3/16/2023. A review of the facility records was completed, which included the Staff Records; Sign-in Logs; Admission Agreement; and Parent Volunteer Schedule. LPA conducted interview with director, staff and involved parties. (REFER TO LIC9099C FOR CONT.)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023

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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Control Number 05-CC-20230308163716

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: BUNKER HILL PARENTS PARTICIPATION NURSERY SCHOOL	FACILITY NUMBER: 410500083
	VISIT DATE: 03/16/2023

NARRATIVE

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Based on evidence collected, LPA is unable to determine if facility does not have adequate staffing to care and supervise day care children. During inspection, LPA observed facility operating within proper staff member/ parent - child ratio.

Based on evidence collected, LPA is unable to determine if staff did not communicate with authorized representatives in a timely manner. During interviews, director stated she informs families when changes are made to the preschool program.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated.

LPA conducted exit interview with Director. Complaint report explained and the Notice of Site Visit was posted during inspection.

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023

LIC9099 (FAS) - (06/04)

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