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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414002881
Report Date: 08/21/2025
Date Signed: 08/21/2025 12:11:30 PM

Substantiated


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
08/18/2025 and conducted by Evaluator Janet Gil
COMPLAINT CONTROL NUMBER: 05-CC-20250818102216
FACILITY NAME:PFS-BAYSHORE MISSION STREET CDC (INFANT)FACILITY NUMBER:
414002881
ADMINISTRATOR:WHEATLEY, KELLEYFACILITY TYPE:
830
ADDRESS:7222 MISSION STREETTELEPHONE:
(650) 758-0743
CITY:DALY CITYSTATE: CAZIP CODE:
94014
CAPACITY:23CENSUS: 14DATE:
08/21/2025
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Kelley WheatleyTIME COMPLETED:
12:35 PM
ALLEGATION(S):
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Staff left a daycare child unattended while in care.
INVESTIGATION FINDINGS:
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On August 21st, 2025, at approximately 9:15 AM, Licensing Program Analyst (LPA) Gil made an unannounced initial complaint visit. LPA met with the director, Kelley Wheatley. The purpose of the inspection was explained. LPA toured the facility with the director and inspected for health and safety hazards. Facility is a combination program of an infant and preschool license. Present in the facility for the infant license were 14 enrolled children and 6 staff members (including the director). Program is operating within capacity limits and ratios during LPA's visit. All present staff have fingerprint clearance on file.

During today's inspection, LPA collected pertinent documents related to the allegation mentioned above, and staff interviews were conducted. LPA received copies of facility children's roaster, teacher schedule (LIC 500), and staff handbook. Based on interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1, are being cited.

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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE:

DATE: 08/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2025
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 3
Control Number 05-CC-20250818102216
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: PFS-BAYSHORE MISSION STREET CDC (INFANT)
FACILITY NUMBER: 414002881
VISIT DATE: 08/21/2025
NARRATIVE
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Type B deficiency is being issued on this day in accordance with the California Code of Regulations, Title 22, see LIC 809D.

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 the site manager, Kelley Wheatley. A copy of today’s report was given to Kelley Wheatley.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE:

DATE: 08/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 05-CC-20250818102216
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: PFS-BAYSHORE MISSION STREET CDC (INFANT)
FACILITY NUMBER: 414002881
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/21/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/21/2025
Section Cited
CCR
101229(a)(1)
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101229: Responsibility for Providing Care and Supervision: (a) "The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation."
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Per director, she has had conversations with all involved staff, and parrent of involved child. All classrooms are also required to fill out ratio boards for headcounts inside and outside the classroom for outdoor play time.
Director plans to have a training on 8/29/2025 regarding this matter. Director will email LPA copy of powerpoint training.
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Based on interview, the facility did not comply with the section cited above as three facility staff interviwed stated that there was a child left alone inside the TK classroom during outdoor play, which poses an immediate health, safety or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE:

DATE: 08/21/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3