<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414004674
Report Date: 03/06/2024
Date Signed: 03/06/2024 12:48:26 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
12/08/2023 and conducted by Evaluator Leslit Tapia-Mandujano
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20231208095040
FACILITY NAME:HERNANDEZ,MARILU V.FACILITY NUMBER:
414004674
ADMINISTRATOR:HERNANDEZ, MARILU V.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 773-8427
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94063
CAPACITY:14CENSUS: 11DATE:
03/06/2024
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Licensee, Marilu V. HernandezTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee yells at day care children
Licensee did not administer day care child's prescription medications
Licensee did not ensure day care child wore medical helmet
Licensee called day care children inappropriate name
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On March 6th, 2024 at approximately 11:00am, Licensing Program Analyst (LPA) Tapia-Mandujano conducted an unannounced, complaint investigation and met with licensee, Marilu V. Hernandez regarding the above allegations and explained the purpose of the visit. LPA toured the home for health and safety hazards.

Complaint was received by the Department on 12/08/23. Present in the facility are licensee and assistant supervising 11 children (4 infants and 7 preschoolers). All adults working or living in the facility have fingerprint clearance and are associated.

During the course of the investigation, interviews were conducted with licensee, parents, assistant, and involved parties. As well as, relevant documents were gathered. The investigation determined there is not enough available information to prove that Licensee yells at day care children, Licensee did not administer day care child's prescription medications, Licensee did not ensure day care child wore medical helmet, and/or that Licensee called day care children inappropriate name.

Although the allegations above may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore, the above allegations are UNSUBSTANTIATED.

After today’s visit, an exit interview was conducted with licensee, Marilu V. Hernandez. A copy of this report was reviewed, translated into Spanish, and provided to licensee.

Upon receipt of this report, Licensee shall post the Notice of Site Visit. The report and the Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain postings as required, will result in an immediate $100 civil penalty. This report is public and can be reviewed.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2024
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 1