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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 410503986
Report Date: 01/06/2025
Date Signed: 01/16/2025 08:20:49 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
12/13/2024 and conducted by Evaluator Janet Gil
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20241213100851
FACILITY NAME:TERRA NOVA CHRISTIAN PRESCHOOLFACILITY NUMBER:
410503986
ADMINISTRATOR:TATIANA HILLMANFACILITY TYPE:
850
ADDRESS:1125 TERRA NOVA BLVD.TELEPHONE:
(650) 355-2962
CITY:PACIFICASTATE: CAZIP CODE:
94044
CAPACITY:60CENSUS: 19DATE:
01/06/2025
UNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Catherine KirkpatrickTIME COMPLETED:
11:45 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff's conduct poses a risk to day care children.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On January 6th, 2025, at approximately 10:05 AM Licensing Program Analyst (LPA) Janet Gil, arrived at the facility unannounced to close the complaint investigation to the above allegation. LPA met with lead teacher, Catherine Kirkpatrick. Per lead teacher, director is away for maternity leave. There are 19 children in attendance today with 5 staff including the lead teacher (4 Teachers and 1 Aide).

Based on information obtained during this investigation through interviews and observation, there was no sufficient evidence to prove allegation above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is UNSUBSTANTIATED.

A copy of this report and appeal rights were discussed and left with lead teacher, Catherine Kirkpatrick. whose signature on this form confirm receipt of the report. Notice of Site Visit was provided. Notice is to remain posted for 30 days. Facility Represenative signature on file, on original copy.

No deficiencies were issued today under Title 22 Division 12 of the California Code of Regulations.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2025
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 1