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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384004524
Report Date: 03/24/2026
Date Signed: 03/24/2026 02:00:05 PM

Substantiated


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
03/16/2026 and conducted by Evaluator Man Tso
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20260316141516
FACILITY NAME:ZHOU, MIAO YINFACILITY NUMBER:
384004524
ADMINISTRATOR:ZHOU, MIAO YINFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 250-9325
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94158
CAPACITY:14CENSUS: 3DATE:
03/24/2026
UNANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:Miao Yin ZhouTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Day-care child was left unattended at the park
INVESTIGATION FINDINGS:
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On March 24, 2026, at approximately 11:25 AM, Licensing Program Analyst (LPA), Tso made an unannounced complaint investigation and met with Licensee, Miao Yin Zhou. Purpose of the visit was explained. Present in the facility is Licensee, a helper , and 3 children. Children’s Roster and related documents were obtained. During the inspection, interviews were conducted with the Licensee and helper.

Based on LPA’s gathered information through observation, interviews and records reviews, the agency has investigated the complaint allegation above. The facility did not comply with the related regulations. The preponderance of evidence standard has been met. The above allegation is found to be SUBSTANTIATED. A Type A violation was issued today, March 24, 2026 in accordance with the California Code of Regulations, Title 22, Division 12, citation was being cited on the attached LIC 9099D. Besides, a $500 civil penalty was assessed (refer to LIC421IM).

This report has been discussed and reviewed with licensee whose signature confirmed have read the report. The Facility is advised to provide a copy of the Complaint Investigation Report and the Type "A" Deficiency cited to the parents and guardians of children currently enrolled in care and parents of newly enrolled children during the next 12 months. A signed and dated LIC 9224 shall be maintained in all Children's files. This report will be maintained in the facility file and made available for public review three years after the thirty-day posting requirement has been met.

Exit interview conducted and a copy of this report and appeal rights were discussed and left with the licensee, Miao Yin Zhou, whose signature on this form confirms receipt of these reports. Notice of Site Visit (The Notice) was provided. The Notice is to remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Man Tso
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 05-CC-20260316141516
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: ZHOU, MIAO YIN
FACILITY NUMBER: 384004524
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/24/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/25/2026
Section Cited
CCR
102417(a)
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102417 Operation of a Family Child Care Home (a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times.

This requirement is not met, as evidenced by:



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Licensee shall ensure that children in care are supervised at all times and submit a plan for how to ensure the children in care were under supervision all times to the Licensing Office on or before 3/25/2026.

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Based on observation, interview and documents review, the Licensee did not comply the section cited above, which poses an immediate health and safety risk to persons in care.
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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: Man Tso
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2