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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384002242
Report Date: 04/25/2023
Date Signed: 04/25/2023 10:45:37 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
03/14/2023 and conducted by Evaluator Cindy Mok
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20230314092337
FACILITY NAME:CCFC-VV LELAND CENTER (P)FACILITY NUMBER:
384002242
ADMINISTRATOR:THERESA ILARINAFACILITY TYPE:
850
ADDRESS:325 LELAND AVENUETELEPHONE:
(415) 921-7019
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94134
CAPACITY:88CENSUS: 50DATE:
04/25/2023
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Theresa IlarinaTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
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5
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7
8
9
Staff handled a child inappropriately that caused sustained bruises while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
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7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Mok conducted an unannounced inspection to finalize this complaint today. LPA met with the Site Director and explained the purpose of the inspection to her. There were 50 children with 9 staff present. Based on the inteviews conducted with witnesses by CCL, there was no sufficient evidence to prove the staff handled a child inapproprietly that caused sustained bruises while in care.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is Unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE:

DATE: 04/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2023
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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