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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384004434
Report Date: 07/26/2022
Date Signed: 07/26/2022 02:58:45 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
07/18/2022 and conducted by Evaluator Brendon Van
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20220718094359

FACILITY NAME:NOE VALLEY KIDSFACILITY NUMBER:
384004434
ADMINISTRATOR:TOLEDO, JORDANFACILITY TYPE:
830
ADDRESS:3800 22ND STREETTELEPHONE:
(415) 619-2293
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94114
CAPACITY:32CENSUS: 29DATE:
07/26/2022
UNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Paris Lei, Cui Yan Lao, and Miranda PanTIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
-Facility staff are not providing adequate supervision
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On July 26, 2022, Licensing Program Analysts (LPAs) Van and Garcia conducted an initial complaint investigation received on 7/18/2022. Based on the information received, LPAs conducted surveillance at Noe Valley Court Park. LPA arrived at the Noe Valley Court Park at 10:30 am. At approximately 10:40 am, LPAs observed a group of 6 teachers and 21 children arrive at the park. The teachers and children utilized the tennis court during the observation. At 11:20 am, LPAs went to the teachers and introduced and the teachers confirmed that they are from Noe Valley Kids. LPAs then informed teachers of the purpose of a complaint investigation and confirmed the number of children present at the park with the teachers.

Based on LPAs observations and interviews, which were conducted, the preponderance of evidence standard has been met. Therefore, the above-listed allegation is found to be substantiated.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 05-CC-20220718094359
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: NOE VALLEY KIDS
FACILITY NUMBER: 384004434
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/26/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
08/01/2022
Section Cited
CCR
101175(b)(1)
1
2
3
4
5
6
7
101175 Waivers and Exceptions for Program Flexibility (b) The Department has the authority to approve the use of alternate concepts, programs, services, procedures, techniques, equipment, space, personnel qualifications or staffing ratios, or the conduct of experimental or demonstration projects, under the following circumstances: (1) Such alternatives shall be carried out with provisions for safe and adequate services, and shall in no instance be detrimental to the health and safety of any child in care.
1
2
3
4
5
6
7
The facility must adhere to her outdoor waiver limitations and requirements. The facility owner states she will reduce the number of children outdoor and provide Licensing with a written plan/schedule to comply with the outdoor facility waiver by August 1, 2022. A written plan and schedule will be sent to LPAs.
8
9
10
11
12
13
14
Based on observation and interview, the facility did not comply with the Departmental-issued outdoor waiver, a ratio of one teacher to two children in a public park. LPAs observed 21 children and only 6 teachers. The facility did not adhere to the waiver, which poses potential health, safety, or personal rights risk to children in care
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3