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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384004403
Report Date: 08/26/2025
Date Signed: 08/26/2025 09:47:00 AM

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
06/13/2025 and conducted by Evaluator Man Tso
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20250613164629
FACILITY NAME:KAI MING PMSQUARE CHILDREN'S CENTER-INFFACILITY NUMBER:
384004403
ADMINISTRATOR:MACH, CINDYFACILITY TYPE:
830
ADDRESS:671 CHINA BASIN STREETTELEPHONE:
(415) 387-3688
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94158
CAPACITY:25CENSUS: 14DATE:
08/26/2025
UNANNOUNCEDTIME BEGAN:
08:57 AM
MET WITH: Jouhan Chen / Cindy MachTIME COMPLETED:
10:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff handled daycare child in a rough manner
Staff hit daycare child
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On August 26, 2025, at 8.30AM, Licensing Program Analyst (LPA) Tso conducted an unannounced visit for delivery of the complaint investigation findings and met with the Director, Jouhan Chen and Cindy Mach (arrived at approximately 9 AM). LPA explained the purpose of the inspection and were granted entry to the facility by the Director. Present in the facility is the Directors, 7 teachers, and 14 children.
During the course of the investigation, interviews were conducted with staff members, and relevant documents were gathered. Based on the interviews, observation and information gathered, there was no sufficient evidence to prove that the allegations listed above, occurred. Although the allegations may have happened or is valid, there is no preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are UNSUBSTANTIATED.

Exit interview conducted and this report was reviewed with the Director whose signature confirm has read the report. Report must be made available for public review upon request. A copy of this report and appeal rights have been discussed and left with the Director. Notice of Site Visit shall remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Man Tso
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2025
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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