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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414002552
Report Date: 12/13/2022
Date Signed: 12/13/2022 09:58:57 AM

Unsubstantiated


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
09/28/2022 and conducted by Evaluator Marie Rodriguez
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20220928115550
FACILITY NAME:PFS- FIRST STEP CDC (PS)FACILITY NUMBER:
414002552
ADMINISTRATOR:MOHAMMED, AMIRAFACILITY TYPE:
850
ADDRESS:325 VILLA TERRACETELEPHONE:
(650) 619-7198
CITY:SAN MATEOSTATE: CAZIP CODE:
94401
CAPACITY:22CENSUS: 10DATE:
12/13/2022
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Marisol Ostorga and Sofia ZwassTIME COMPLETED:
10:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Individual had an inappropriate interaction with a child while in care.
A child sustained unexplained bruising while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Marie Rodriguez conducted a subsequent unannounced complaint inspection to close complaint. LPA met with Site Supervisor Marisol Ostorga and Family Engagement Coordinator Sofia Zwass and explained purpose of inspection. Present at the center were the Site Supervisor, Family Engagement Coordinator, four teachers, and ten children (5 toddlers and 5 preschool aged). Allegations were investigated by LPA and by the Department’s Investigations Branch (IB).

During the course of the investigation, LPA conducted interviews, conducted a physical plant tour, reviewed records, and obtained pertinent documentation. LPA also received pertinent documentation obtained by IB. Based on information gathered by LPA and the Department’s Investigations Branch, there is insufficient evidence to prove that an individual had an inappropriate interaction with a child and a child sustained unexplained bruising while in care.

Although the allegations may have happened or may be valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are found to be UNSUBSTANTIATED.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie RodriguezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2022
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-20220928115550
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: PFS- FIRST STEP CDC (PS)
FACILITY NUMBER: 414002552
VISIT DATE: 12/13/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
An exit interview was conducted with Site Supervisor Marisol Ostorga and Family Engagement Coordinator Sofia Zwass. A copy of the report was provided. Notice of site visit was observed to be posted and shall remain posted for 30 days.
SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie RodriguezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2