414004997-7-2-2026-05-CC-AZEA-DWNTAW-20260805143414

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 414004997
Report Date: 07/02/2026
Date Signed: 07/02/2026 11:54:19 AM

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
05/08/2026 and conducted by Evaluator Jonathan Tse

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20260508092030

FACILITY NAME:	SHU ACADEMY SAN CARLOS		FACILITY NUMBER:	414004997
ADMINISTRATOR:	YUN LI		FACILITY TYPE:	850
ADDRESS:	1601 LAUREL STREET		TELEPHONE:	(650) 866-9190
CITY:	SAN CARLOS	STATE: CA	ZIP CODE:	94070
CAPACITY:	55	CENSUS: 40	DATE:	07/02/2026
		UNANNOUNCED	TIME BEGAN:	09:40 AM
MET WITH:	Director, Yun "Mia" Li		TIME COMPLETED:	12:05 PM

ALLEGATION(S):

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-Staff did not prevent a daycare child from causing harm to other daycare children.
-Unqualified staff are providing care and supervision.

INVESTIGATION FINDINGS:

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On July 2, 2026, at approximately 9:40AM, Licensing Program Analysts (LPAs) Tse and Tran conducted an unannounced complaint investigation visit at the facility. LPAs met with Director, Yun "Mia" Li, and explained the purpose of the visit. Present during the visit were 11 staff members and 40 children (28 preschool age children and 12 toddlers).

During today's visit, LPAs conducted site observations and record review.

During the course of the investigation, LPAs conducted site observations, record review, and interviews with relevant parties.

Based on site observations, LPAs observed there to be sufficient staff to meet ratios for both the toddler and preschool components. Staff were observed to provide care and supervision to children.

***Continued on Page Two***

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2026

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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Control Number 05-CC-20260508092030

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: SHU ACADEMY SAN CARLOS	FACILITY NUMBER: 414004997
	VISIT DATE: 07/02/2026

NARRATIVE

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***Page Two***
Based on review of the facility's parent and staff handbooks, there is a behavior management plan that is established when a child has repeated behaviors such as biting or hitting. Based on interview with relevant parties, LPAs observed that the facility did follow this procedure and had set up meetings to establish these plans when needed. LPAs were able to confirm that these meetings were communicated with relevant authorized representatives or parents. However, the behavior management plans were not documented and the contents of these plans were unable to be verified.

Based on record review, LPAs verified the qualifications of each teacher or aide. Based on site observations, LPAs did not observe an unqualified staff member supervising children by themselves. LPAs observed that aides were not left alone with children, and were under the supervision of a teacher while providing care and supervision to children.

No direct evidence to support the allegations was observed during the course of the investigation. The facility denied the allegations.

Based on relevant information reviewed, 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 at this time.

No deficiencies were cited during today's visit on July 2, 2026. A notice of site visit was provided and must remain posted for 30 days. Exit interview conducted and report was reviewed with Director, Yun "Mia" Li.

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2026

LIC9099 (FAS) - (06/04)

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