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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 410517962
Report Date: 11/19/2025
Date Signed: 11/19/2025 10:28:50 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
08/29/2025 and conducted by Evaluator Leslit Tapia-Mandujano
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20250829120200
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: 3DATE:
11/19/2025
UNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Assistant, Monet WardTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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Provider hit daycare child.
INVESTIGATION FINDINGS:
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On November 19th, 2025 at approximately 9:25am, Licensing Program Analyst (LPA) Tapia-Mandujano conducted an unannounced complaint investigation and met with assistant, Monet Ward. Per assistant, licensee is out for an appointment. LPA explained the purpose of the visit to assistant was to conclude the complaint investigation. LPA and assistant toured the home for health and safety hazards.

Complaint was received by the Department on 08/29/25. Present in the facility is assistant that is caring for 3 preschool age children. All adults working and living in the facility have fingerprint clearance.

During the course of the investigation, interviews were conducted with licensee, assistant, children, and pertinent individuals. LPA also gathered relevant documents and information. Based on the information gathered through interviews and documents, there is not enough information to prove that provider hit daycare child.

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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
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)
Page: 1 of 2
Control Number 05-CC-20250829120200
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: WARD, STEPHANIE
FACILITY NUMBER: 410517962
VISIT DATE: 11/19/2025
NARRATIVE
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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 assistant, Monet Ward. A copy of this report and appeal rights were reviewed and provided to assistant, Monet Ward.

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.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
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
LIC9099 (FAS) - (06/04)
Page: 2 of 2