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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 410500410
Report Date: 11/19/2025
Date Signed: 11/19/2025 10:45:03 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
10/06/2025 and conducted by Evaluator Jovanna Badger
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20251006113809
FACILITY NAME:MERRY MOPPET NURSERY SCHOOLFACILITY NUMBER:
410500410
ADMINISTRATOR:KHOURY, JENNIFERFACILITY TYPE:
850
ADDRESS:2200 CARLMONT DRIVETELEPHONE:
(650) 593-6175
CITY:BELMONTSTATE: CAZIP CODE:
94002
CAPACITY:237CENSUS: 118DATE:
11/19/2025
UNANNOUNCEDTIME BEGAN:
09:31 AM
MET WITH:Jennifer KhouryTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Child received head injury due to lack of supervision
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/19/ 2025, Licensing Program Analyst (LPA) J. Badger conducted an unannounced complaint investigation visit at the above-named facility. LPA met with facility director, Jennifer Khoury, and explained the purpose of the visit. Present during today’s visit were 118 preschool aged children in care with 27 teachers.

Related documents were reviewed, and interviews were conducted. Based on the interviews and relevant documents, there is no sufficient evidence to prove that "Child received head injury due to lack of supervision”.

Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is Unsubstantiated.

Exit interview conducted and the report was reviewed with the director, Jennifer Khooury.
Appeal Rights were given to Jennifer Khoury.
Notice of Site Visit was given and shall remain posted for 30 days.
A copy of today’s report was provided to the director Jennifer Khoury.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Jovanna Badger
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2025
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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