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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 410517962
Report Date: 06/04/2025
Date Signed: 06/04/2025 01:38:55 PM

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
03/21/2025 and conducted by Evaluator Leslit Tapia-Mandujano
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20250321142346
FACILITY NAME:WARD, STEPHANIEFACILITY NUMBER:
410517962
ADMINISTRATOR:WARD, STEPHANIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 329-8517
CITY:EAST PALO ALTOSTATE: CAZIP CODE:
94303
CAPACITY:14CENSUS: 8DATE:
06/04/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Licensee, Stephanie WardTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee allows infant to sleep in a car seat
Licensee did not report injury to authorized representative
Licensee does not allow parents/guardians to enter the home
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On June 4th, 2025 at approximately 9:30am, Licensing Program Analyst (LPA) Tapia-Mandujano conducted an unannounced, complaint investigation and met with licensee, Stephanie Ward regarding above allegations and explained the purpose of the visit. LPA and licensee toured the home for health and safety hazards. Complaint was received by the Department on 03/21/25. Present in the facility are licensee and assistant caring for 8 children (1 infant and 7 preschool age). All adults in the facility have fingerprint clearance.

During the course of the investigation, interviews were conducted with licensee, assistants, parents, and relevant documents were gathered. Based on the information gathered through interviews and documents gathered, there is not enough information to prove: Licensee allows infant to sleep in a car seat, Licensee did not report injury to authorized representative, and Licensee does not allow parents/guardians to enter the home.

Although the allegation above may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore, the above allegations are UNSUBSTANTIATED.

After today’s visit, an exit interview was conducted with licensee, Stephanie Ward. A copy of this report was reviewed and provided to licensee.

Upon receipt of this report, Licensee shall post the Notice of Site Visit. The report and the Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain postings as required, will result in an immediate $100 civil penalty. This report is public and can be reviewed.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2025
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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