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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 214005553
Report Date: 09/26/2022
Date Signed: 09/26/2022 03:31:13 PM

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
07/20/2022 and conducted by Evaluator Hanson Leong
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20220720114655
FACILITY NAME:KUHNHAUSEN, KATIA L.FACILITY NUMBER:
214005553
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 4DATE:
09/26/2022
UNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Katia KuhnhausenTIME COMPLETED:
03:46 PM
ALLEGATION(S):
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-Day care child sustained unexplained injuries while in care.

-Provider yells at day care children while in care.
INVESTIGATION FINDINGS:
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On 9/26/2022, Licensing Program Analyst (LPA), Hanson Leong, made an unannounced conclusionary complaint visit to the Katia Kuhnhausen facility. The LPA was granted entry by the Licensee, Katia Kuhnhausen. The LPA explained the purpose of the visit to the licensee. Guardian, the department's system for conducting background checks, has confirmed that all the individuals listed on the facility’s roster have been granted permission to work or be present in a childcare facility. The LPA observed the licensee supervising two infants and two preschool children inside the facility. Children's capacity and ratio requirements were observed to be in compliance.

The LPA conducted interviews with members of the staff and children as part of the investigation, as well as collecting and reviewing relevant documents. Based on the findings of the LPA, there was not enough evidence to prove either of the two complaints that were made regarding the facility, which were that children substained unexplained injuries while in care and provider yelled at day-care children who were in their care. Although the allegation may have happened or is valid, ***See Page 2 for continuation***
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2022
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-20220720114655
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: KUHNHAUSEN, KATIA L.
FACILITY NUMBER: 214005553
VISIT DATE: 09/26/2022
NARRATIVE
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Continued, Page 2
there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

A copy of this report and the "Notice of Site Visit" were given to the licensee

“The Notice of Site Visit” shall be posted for 30 days.

Failure to maintain postings as required, will result in an immediate $100 civil penalty.

Exit interview conducted and report was reviewed with the Licensee, Katia Kuhnhausen
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2