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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384000096
Report Date: 10/28/2024
Date Signed: 10/28/2024 09:34:17 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
08/27/2024 and conducted by Evaluator Sheran Lo
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20240827154836
FACILITY NAME:MONTGOMERY, JEANNETTEFACILITY NUMBER:
384000096
ADMINISTRATOR:MONTGOMERY, JEANNETTEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 822-1831
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94124
CAPACITY:14CENSUS: 3DATE:
10/28/2024
UNANNOUNCEDTIME BEGAN:
08:47 AM
MET WITH:Jeannette MontgomeryTIME COMPLETED:
11:48 AM
ALLEGATION(S):
1
2
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5
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8
9
Licensee is operating out of ratio
INVESTIGATION FINDINGS:
1
2
3
4
5
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7
8
9
10
11
12
13
On October 28, 2024, Licensing Program Analyst (LPA), Sheran Lo conducted a subsequent complaint inspection and met with Licensee Jeanette Montgomery to discuss the above allegation. Purpose of the inspection was explained. Present is Licensee, volunteer with 3 children.

During the course of the investigation, interviews were conducted with Licensee, parents, and relevant documents were gathered. Based on the interviews and relevant documents, there was no sufficient evidence to prove the. Although Licensee is operating out of ratio 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 allegation is Unsubstantiated.

LPA conducted exit interview with Licensee Jeanette Montgomery . Report and Notice of Site Visit was provided. Notice of Site Visit shall be posted for 30 consecutive days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Sheran Lo
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2024
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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