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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414004132
Report Date: 07/08/2026
Date Signed: 07/08/2026 06:33:53 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
05/20/2026 and conducted by Evaluator Katie Krenn
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20260520132801
FACILITY NAME:ALL FIVE @ BELLE HAVEN (PS)FACILITY NUMBER:
414004132
ADMINISTRATOR:GARCIA LOPEZ, AUSTREBERTAFACILITY TYPE:
850
ADDRESS:415 IVY DRIVETELEPHONE:
(650) 394-7328
CITY:MENLO PARKSTATE: ZIP CODE:
94025
CAPACITY:60CENSUS: 43DATE:
07/08/2026
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Elizabeth "Omi" LindseyTIME COMPLETED:
06:30 PM
ALLEGATION(S):
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Child sustained injuries while in care.
INVESTIGATION FINDINGS:
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On July 8, 2026 at approximately 12:15PM, Licensing Program Analyst (LPA), Katie Krenn conducted a complaint inspection in response to the above complaint allegation. LPA met Director, Elizabeth "Omi" Lindsey and explained the purpose of today's visit. Present during the visit was 10 staff and two interns supervising 43 preschool age children. Teacher to child ratio was met the facility was operating within it's capacity on this day.

During the course of the investigation, LPA conducted interviews, observations, and pertinent documentation provided by parties involved. Based on the information gathered, the preponderance of evidence standard has been met, therefore the above allegation is found SUBSTANTIATED.

An exit interview was conducted with Executive Director, Elizabeth "Omi" Lindsey. A notice of site visit was given and must remain posted for 30 days. Due to technical difficulties this report will be emailed.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Katie Krenn
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026
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-20260520132801
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: ALL FIVE @ BELLE HAVEN (PS)
FACILITY NUMBER: 414004132
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/08/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/15/2026
Section Cited
CCR
101223(a)(2)
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101223 Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights:
(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
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Facility will provide proof of completion of the POC by July 15, 2026.

Facility has changed the padding underneath the climing equipement to a surface that more sufficiently cushions falls.
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This requirement is not met as by:
Based on interviews, observations, and review of pertinent documentation. The facility failed to provide a surface sufficient to cushion falls, which posed a potential health, safety or personal rights risk to persons in care. this violates the personal rights of children 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.
SUPERVISOR'S NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Katie Krenn
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026
LIC9099 (FAS) - (06/04)
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