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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 214005621
Report Date: 09/15/2023
Date Signed: 09/15/2023 10:27:27 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 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
08/27/2023 and conducted by Evaluator Hanson Leong
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20230827141753
FACILITY NAME:MARIN, REYNA LILYFACILITY NUMBER:
214005621
ADMINISTRATOR:MARIN, REYNA LILYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 847-9607
CITY:SAN RAFAELSTATE: CAZIP CODE:
94903
CAPACITY:14CENSUS: 6DATE:
09/15/2023
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Reyna Lily MarinTIME COMPLETED:
10:30 AM
ALLEGATION(S):
1
2
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5
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7
8
9
- Provider is physically abusing day care children.
- Day care child hit another day care child causing injuries.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 9/15/2023, Licensing Program Analyst (LPA) Hanson Leong, made an unannounced conclusionary complaint visit to the Family Child Care Home listed above. The LPA was granted entry by the Licensee, Reyna Lily Marin. The LPA explained the purpose of the visit to the Licensee. 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 and her assistant supervising one infant and five preschool aged children. The facility is operating within its capacity and in accordance with the required ratio of staff to children.

All relevant information was gathered and analyzed during the LPA investigation, and all parties involved were contacted and interviewed. Based on information obtained from the LPA investigation, the allegations listed above, may have happened or are valid, there is not a preponderance of evidence to prove the violation did or did not occur, therefore, the above allegations are found to be unsubstantiated.

A copy of today’s report was given to Reyna Lily Marin. The Notice of Site Visit was given to Reyna Lily Marin and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Exit interview conducted and report was reviewed with Reyna Lily Marin.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2023
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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