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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414004532
Report Date: 06/23/2025
Date Signed: 06/23/2025 11:57:51 AM

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
06/16/2025 and conducted by Evaluator Luis Gomez
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20250616144601
FACILITY NAME:SAFARI KID SAN MATEOFACILITY NUMBER:
414004532
ADMINISTRATOR:WEINHAUER, RESHMIFACILITY TYPE:
850
ADDRESS:521 E 5TH AVENUETELEPHONE:
(650) 235-9198
CITY:SAN MATEOSTATE: CAZIP CODE:
94402
CAPACITY:72CENSUS: 55DATE:
06/23/2025
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Shanu Mathur TIME COMPLETED:
12:10 PM
ALLEGATION(S):
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Staff did not maintain a proper teacher-child ratio.
INVESTIGATION FINDINGS:
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On 6/23/2025 at 8:45AM., Licensing Program Analyst (LPA) Luis Gomez met with Licensee, Shanu Mathur. Purpose of the inspection was explained and was for an Unannounced, 10-day complaint inspection. Present was the licensee and 11 staff caring for 55 children. LPA inspected facility for health and safety hazards.

During inspection, LPA performed site observations, interviews and reviewed facility records.

During the course of this investigation, site observation was conducted on 6/23/2025. A review of the facility records was complete, which includes the sign-in sheets and staff files. LPA conducted interviews with licensee and involved parties. (REFER TO LIC9099C, FOR CONT.)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2025
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 4
Control Number 05-CC-20250616144601
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: SAFARI KID SAN MATEO
FACILITY NUMBER: 414004532
VISIT DATE: 06/23/2025
NARRATIVE
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(Page 2)
Regarding the allegation of staff did not maintain a proper teacher- child ratio; Based on interview, record review, and observation, LPA determined allegations made are valid. During inspection, LPA observed toddler classroom operating beyond the maximum group size (16 children), during outside play and classroom instruction.

Therefore, the preponderance of evidence standard has been met, with allegations found to be SUBSTANTIATED. The California Code of Regulations (Title 22, Section 12 Chapter 1) are being cited on attached to 9099D.

Notice of site visit was provided to the facility. Website for Forms and Regulations: www.ccld.ca.gov. Appeal rights were provided to the licensee.

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 05-CC-20250616144601
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: SAFARI KID SAN MATEO
FACILITY NUMBER: 414004532
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/23/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/30/2025
Section Cited
HSC
1596.955(a)(5)
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1596.955(a)(4) (4) The maximum group size, with two teachers, or one fully qualified teacher and one aide, does not exceed 12 toddlers. This requirement was not met as evidenced by:
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Licensee will submit completed staff roster (LIC500) to the department, including scheduled for outside play, showing toddler classroom separation, groups not exceed 12 children. Proof of correction must be submitted to the department via email and by the due date: 6/30/2025.
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At 11:11AM., Based on observation, record review, and interview, LPA observed toddler classroom operating beyond the maximum group size (16 children), during classroom instruction. This poses a potential health and safety risk to 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.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4