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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 380500371
Report Date: 11/08/2023
Date Signed: 11/08/2023 03:07:51 PM

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
08/31/2023 and conducted by Evaluator Brendon Van
COMPLAINT CONTROL NUMBER: 05-CC-20230831161809
FACILITY NAME:LAKESIDE PRESBYTERIAN CHURCH NURSERY SCHOOLFACILITY NUMBER:
380500371
ADMINISTRATOR:MICHELLE ADELSHEIMFACILITY TYPE:
850
ADDRESS:201 EUCALYPTUS DRIVETELEPHONE:
(415) 564-5044
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94132
CAPACITY:75CENSUS: 71DATE:
11/08/2023
UNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Michelle AdelTIME COMPLETED:
03:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
- Staff member speaks to daycare children inappropriately
- Facility is discriminating against children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On November 8, 2023., Licensing Program Analyst (LPA) Van conducted an unannounced inspection to finalize this complaint and deliver the findings to the Center. LPA met with the site Director, Michelle Adelsheim. The purpose of the inspection was explained, and entry to the Center was granted. Nineteen staff members supervised 71 children today. The teachers and children ratio were met.

As part of the investigation, LPA interviewed parents of children attending the Center, staff members, and children and reviewed all pertinent documents. Based on the information available, there was insufficient evidence to prove any discrimination against children and children were inappropriately spoken to. The Department has investigated the above allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegations are Unsubstantiated.

An exit inspection was conducted with the Director, Michelle Adelsheim. A copy of the report was provided to the Director at the conclusion of the inspection. LPA informed the Director that the site visit notice must be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2023
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 3