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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 410518832
Report Date: 01/18/2023
Date Signed: 01/18/2023 01:11:58 PM

Document Has Been Signed on 01/18/2023 01:11 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:FRIENDS TO PARENTS, INC.FACILITY NUMBER:
410518832
ADMINISTRATOR:DIREKZE, MERLAFACILITY TYPE:
850
ADDRESS:2525 WEXFORD AVENUETELEPHONE:
(650) 588-8212
CITY:SO. SAN FRANCISCOSTATE: CAZIP CODE:
94080
CAPACITY: 128TOTAL ENROLLED CHILDREN: 128CENSUS: 62DATE:
01/18/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Merla DirekzeTIME COMPLETED:
10:20 AM
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Licensing Program Analyst (LPA) Andrea Medlin met with facility representative for this case management visit. Purpose of the visit is due to a self reported unusual incident. There are 62 children present during the visit. On 12/20/2022, a child (C1) reported a teacher (S1) had "pinched him and hit him in the back." LPA conducted interviews. It was determined that there is not a sufficient amount of information to determine whether any inappropriate conduct was done to a child. Facility conducted internal investigation and did not find any evidence of inappropriate conduct. However due to alleged incident, the teacher (S1) is not left alone with children and another teacher is always in the room.

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.

This report is reviewed with facility representative and a copy of this report must be made available for public review upon request.

Notice of site visit shall remain posted for 30 days.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Andrea Medlin
LICENSING EVALUATOR SIGNATURE: DATE: 01/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/18/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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