414001724-7-16-2021-05-CC-GLEG-C57VDN-20210723162059

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 414001724
Report Date: 07/16/2021
Date Signed: 07/16/2021 02:27:03 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
06/17/2021 and conducted by Evaluator April Cowan

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20210617164057

FACILITY NAME:	TEMPORARY TOT TENDING		FACILITY NUMBER:	414001724
ADMINISTRATOR:	LESLIE GRANILLO		FACILITY TYPE:	850
ADDRESS:	1283 TERRA NOVA BOULEVARD		TELEPHONE:	(650) 355-5026
CITY:	PACIFICA	STATE: CA	ZIP CODE:	94044
CAPACITY:	21	CENSUS: 6	DATE:	07/16/2021
		UNANNOUNCED	TIME BEGAN:	12:28 PM
MET WITH:	Leslie Granillo		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Child is being sexually abused while in care

INVESTIGATION FINDINGS:

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On 7-16-21 at 11:28 PM, Licensing Program Analyst (LPA) met with site director for an unannounced subsequent complaint inspection. The purpose of inspection was explained to director. Present in the facility is director and 2 staff caring for 6 children.
In today’s inspection, LPA along with licensee inspected for health and safety hazards. LPA observed no deficiencies during inspection.

During the course of investigation, interviews were conducted with director, staff, and parents. From the information available at this time, LPA has not found evidence of abuse. Although the 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.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: April Cowan
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021

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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