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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 214005441
Report Date: 07/14/2022
Date Signed: 07/14/2022 11:31:38 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
04/26/2022 and conducted by Evaluator Kassandra Medrano
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20220426121441
FACILITY NAME:STIFFLER, SHARON A.FACILITY NUMBER:
214005441
ADMINISTRATOR:STIFFER, SHARON A.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 459-1219
CITY:SAN ANSELMOSTATE: CAZIP CODE:
94960
CAPACITY:14CENSUS: 13DATE:
07/14/2022
UNANNOUNCEDTIME BEGAN:
10:25 AM
MET WITH:Licensee, Sharon StifflerTIME COMPLETED:
11:35 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee speaks inappropriate to and about children to others.
Licensee mishandled child in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 07/14/2022 at 10:25pm, Licensing Program Analyst (LPA), Kassandra Medrano, made an unannounced visit to the facility to deliver the findings and close out a complaint. LPA was granted entry by the Licensee, Sharon Stiffler. LPA explained the purpose of the visit to the licensee. During todays visit, Present with the Licensee, there were 13 children and 2 helpers.
During the course of the investigation, interviews were conducted with staff, parents, and relevant documents were gathered. Based on the interviews and relevant documents, there was not sufficient evidence to prove the above allegations. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegations are Unsubstantiated.

Report has been reviewed with licensee, and copy of the report will be emailed to the licensee. Along with Notice of Site Visit, which shall be posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Kassandra Medrano
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2022
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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