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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414005215
Report Date: 09/26/2025
Date Signed: 09/26/2025 04:15:50 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
09/08/2025 and conducted by Evaluator Katie Krenn
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20250908093738
FACILITY NAME:PENINSULA TEMPLE SHOLOMFACILITY NUMBER:
414005215
ADMINISTRATOR:ALLISON STECKLEYFACILITY TYPE:
860
ADDRESS:1655 SEBASTIAN DRIVETELEPHONE:
(650) 697-2279
CITY:BURLINGAMESTATE: CAZIP CODE:
94010
CAPACITY:164CENSUS: 37DATE:
09/26/2025
UNANNOUNCEDTIME BEGAN:
03:39 PM
MET WITH:Allison SteckleyTIME COMPLETED:
04:45 PM
ALLEGATION(S):
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Staff left a child in a soiled diaper long enough for the child's pants to become soiled.
INVESTIGATION FINDINGS:
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On 09/26/25, Licensing Program Analyst (LPA) Katie Krenn conducted a complaint inspection in response to the above complaint allegation. LPA met with the Director, Allison Steckley and explained the purpose of today's visit was to continue the investigation of a complaint. Present during the visit was the Director, eigth teachers caring for 31 children in the aftercare program. Teacher to child ratio was met the facility was operating within it's capacity on this day.

During the course of the investigation, interviews were conducted, pertinent documentation was reviewed, and observations were made. Based on interviews, records reviewed, and observations, the preponderance of evidence standard has been met, therefore the above allegation is found SUBSTANTIATED.

A notice of site visit was issued and must remain posted in a prominent place for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

LPA reviewed the report, appeal rights, and conducted exit interview with the Director, Allison Steckley.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Katie Krenn
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2025
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 2
Control Number 05-CC-20250908093738
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: PENINSULA TEMPLE SHOLOM
FACILITY NUMBER: 414005215
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/26/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/26/2025
Section Cited
CCR
101223(a)(2)
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101233 (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.

This requirement is not met as evidenced by:
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The facility has added an additional diaper check to their schedule.
Additional staff was added to assist during diaper changing time.
The staff is now keeping a diaper changing log in order to track a child's diaper changes throughout the day.
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Based on interviews and record reviews, the facility did not comply with the section cited above in that the facility left a child in care in a soiled diaper long enough for the pants to become soiled, which posed a potential health, safety, or personal rights risk to persons in care.
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The facility had completed their plan of correction prior to the citation being issued.
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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: Daniel J Oquendo
LICENSING EVALUATOR NAME: Katie Krenn
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2