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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414004111
Report Date: 09/26/2025
Date Signed: 09/26/2025 03:54:00 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
08/04/2025 and conducted by Evaluator Ruhi Wadhwa
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20250804105810
FACILITY NAME:KAPOGIANNIS, KIM LEEFACILITY NUMBER:
414004111
ADMINISTRATOR:KAPOGIANNIS, KIM LEEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 290-8168
CITY:PACIFICASTATE: CAZIP CODE:
94044
CAPACITY:14CENSUS: 8DATE:
09/26/2025
UNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Kim Lee KapogiannisTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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1. Licensee yelled at child
2. Licensee handled child in a rough manner
INVESTIGATION FINDINGS:
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On 9/26/2025, at 1:40 PM, Licensing Program Analysts (LPAs) Wadhwa and Ly conducted an unannounced follow up complaint investigation visit at the facility. LPAs met with Licensee, Kim Lee Kapiogiannis and explained the purpose of the visit. Present during LPAs visit included licensee, 1 assistant and 8 children (4 infants and 4 preschool age children). All adults present today were verified to have fingerprint clearance on file.

During the investigation, LPAs conducted interviews, facility record reviews and observations.
A review of the facility records included staff files and children’s files. Interviews were conducted with staff, a sample of the parents, a sample of the children and the parties involved.

Based on interviews, record review and observations, there wasn’t sufficient evidence to prove the allegations “Licensee yelled at child” and “Licensee handled child in a rough manner”.
Continued on Page 2

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Ruhi Wadhwa
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2025
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 2
Control Number 05-CC-20250804105810
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: KAPOGIANNIS, KIM LEE
FACILITY NUMBER: 414004111
VISIT DATE: 09/26/2025
NARRATIVE
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Page 2
Although the allegations may have happened or is valid, there is no preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are UNSUBSTANTIATED.

Exit interview was conducted and a copy of this report was reviewed and provided to the licensee, Kim Lee Kapogiannis.

No deficiencies were issued today under Title 22 Division 12 of the California Code of Regulations.

NOTICE OF SITE VISIT WAS GIVEN AND SHALL REMAIN POSTED FOR 30 DAYS. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Ruhi Wadhwa
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2