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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414004587
Report Date: 05/18/2021
Date Signed: 05/18/2021 03:37:56 PM



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
02/18/2021 and conducted by Evaluator Andrea Medlin
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20210218101412
FACILITY NAME:PINE CONE CHILDREN'S CENTERFACILITY NUMBER:
414004587
ADMINISTRATOR:ALVARADO, MICAELAFACILITY TYPE:
850
ADDRESS:900 BARRON AVENUETELEPHONE:
(650) 497-0013
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94063
CAPACITY:102CENSUS: DATE:
05/18/2021
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Micaela AlvaradoTIME COMPLETED:
04:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
PERSONAL RIGHTS: Unqualified staff providing care and supervision to day-care children.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Due to COVID-19, field visits are suspended at this time.

Licensing Program Analyst (LPA) Andrea Medlin conducted conclusionary complaint visit via tele-inspection. Additional information reviewed including staff records and schedules. LPA is unable to determine if there are any particular staff that are unqualified based on insufficent information provided in complaint. There are preschool classrooms that range in age served from two to five year old children. Each classroom ranged in groups size of approx 10-12 children over the last few months with exception to one classroom which recently re-opened with 3 children. Each classroom has adequate amount of staff coverage. According to director, all staff are fully qualifed teachers with either ECE units, BA degree, or other qualified educational requirements for a teacher. Since there are no specific staff names provided by reporting party in the complaint, there is insufficient available information.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. This report is reviewed with director and provided via email.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Andrea MedlinTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 05/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2021
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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