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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414001089
Report Date: 05/15/2026
Date Signed: 05/15/2026 04:02:42 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
03/19/2026 and conducted by Evaluator Nathan Garcia
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20260319125208

FACILITY NAME:MUNOZ, TERRI ANNFACILITY NUMBER:
414001089
ADMINISTRATOR:MUNOZ, TERRI ANNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 834-0181
CITY:SAN BRUNOSTATE: CAZIP CODE:
94066
CAPACITY:14CENSUS: 8DATE:
05/15/2026
UNANNOUNCEDTIME BEGAN:
03:33 PM
MET WITH:Terri Ann MunozTIME COMPLETED:
04:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility operating out of ratio
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On May 15, 2026, Licensing Program Analysts (LPAs) Garcia and Quimbo conducted an unannounced complaint investigation to deliver the findings of the complaint and met with Licensee, Terri Ann Munoz. Present during the inspection was the Licensee and a helper supervising 8 children (2 infants and 6 over the age of 2) during nap time.

Based on information obtained during the course of this investigation through interviews, and records review, it was found that the allegation of "Facility operating out of ratio", there were no sufficient evidence to prove the above allegation. Although the allegations may have happened or is valid, there's no preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is unsubstantiated.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Licensee, Terri Ann Munoz.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Nathan Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2026
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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