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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384002319
Report Date: 08/08/2025
Date Signed: 08/08/2025 04:09:33 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 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
07/10/2025 and conducted by Evaluator Hanson Leong
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20250710144018
FACILITY NAME:HOLY FAMILY DAY HOME INFANT/TODLR CTR.FACILITY NUMBER:
384002319
ADMINISTRATOR:POOYAN, SETAREHFACILITY TYPE:
830
ADDRESS:299 DOLORES ST.,RMS #1 & #2TELEPHONE:
(415) 861-5361
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94103
CAPACITY:31CENSUS: 20DATE:
08/08/2025
UNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Erin FarrisTIME COMPLETED:
04:20 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff handled child in a rough manner
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On August 8, 2025, Licensing Program Analysts (LPAs) Leong and Badger conducted an unannounced subsequent complaint visit. LPAs met with DIrector Erin Farris and explained the purpose of the visit.

Twenty children, the director, and ten staff members were present during today's visit.

All relevant information was collected and analyzed during the LPA investigation, and all parties involved were contacted and interviewed. Based on the information obtained from the LPA investigation, the allegation listed above was unsubstantiated, meaning it may have happened or is valid, there is no preponderance of evidence to prove the violations did or did not occur.

A Notice of Site Visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative, Erin Farris.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2025
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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