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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 410506949
Report Date: 07/23/2025
Date Signed: 07/23/2025 12:36:42 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
05/05/2025 and conducted by Evaluator Maria Olguin-Leon
COMPLAINT CONTROL NUMBER: 05-CC-20250505114030
FACILITY NAME:RCSD CHILD DEV SERVICES-ROOSEVELT (PEC)FACILITY NUMBER:
410506949
ADMINISTRATOR:CASTILLO, IVONNEFACILITY TYPE:
850
ADDRESS:2434 MCGARVEY WAYTELEPHONE:
(650) 482-2038
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94061
CAPACITY:72CENSUS: DATE:
07/23/2025
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Lead teacher, Chi NguyenTIME COMPLETED:
12:55 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff pushed child
Staff handled child roughly
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On July 23, 2025, at approximately 11:45 am, Licensing Program Analyst (LPA) Maria Olguin-Leon conducted an unannounced inspection and met with Lead teacher, Chi Nguyen. The purpose of the inspection was explained and was to deliver complaint findings for the above allegations. Present in the facility were Lead teacher, 5 staff caring for a total of 23 preschool children. Facility is operating within capacity. During today's inspection, LPA inspected the facility for health and safety hazards and conducted interviews.

During the course of the investigation, LPA inspected facility, conducted interviews, conducted observations, and reviewed pertinent documentation provided. Based on evidence obtained, it was determined that the allegations, Staff pushed child and Staff handled child roughly, are determined to be UNSUBSTANTIATED. Although the above 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.

Upon receipt of this report, Facility shall post the Notice of Site Visit for 30 consecutive days. Failure to maintain posting as required will result in an immediate $100 civil penalty. This report is public and can be reviewed.

Exit interview was conducted and report was reviewed with Lead teacher, Chi Nguyen. Appeal rights were provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2025
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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