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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414000216
Report Date: 05/24/2023
Date Signed: 05/24/2023 02:43:49 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 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
03/27/2023 and conducted by Evaluator Catrina Quimbo
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20230327104807
FACILITY NAME:SKYLINE COLLEGE CDCFACILITY NUMBER:
414000216
ADMINISTRATOR:WATTS, JACINDAFACILITY TYPE:
850
ADDRESS:3300 COLLEGE DRIVETELEPHONE:
(650) 738-7071
CITY:SAN BRUNOSTATE: CAZIP CODE:
94066
CAPACITY:100CENSUS: 16DATE:
05/24/2023
UNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Michelle AmaralTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff has inappropriate interactions with child in care.
INVESTIGATION FINDINGS:
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On May 24, 2023 at approximately 12:50pm, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced complaint visit to Skyline College Child Development Center. LPA met with program coordinator, Michelle Amaral, and explained the purpose of the visit.

Program operates at Skyline College, Building 14, in classrooms #2-5. During LPA's visit, only Classrooms #3 and #4 were in operation. Present during LPA's visit included 16 preschool children with 7 staff members.

During investigation, LPA conducted classroom observations, interviewed random selection of staff and children, and reviewed records and documents.

Individuals interviewed stated a staff member has been observed to yell at a child while in the restroom. Additionally, a staff member has also been observed to forcibly sit a child down in a chair to eat lunch. Staff members have also been observed to physically lay next to children during nap time, with staff members' arms placed over children to lay down and sleep. Information gathered determined at least one staff member has had an inappropriate interaction with a child in care.
(Continue Report on 9099C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2023
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 3
Control Number 05-CC-20230327104807
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: SKYLINE COLLEGE CDC
FACILITY NUMBER: 414000216
VISIT DATE: 05/24/2023
NARRATIVE
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(Continued, Page 2...)
Based on LPA's interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

California Code of Regulations, Title 22, Division 12, Chapter 1 are being cited. Please refer to 9099D for more information.

Notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Appeal Rights were also provided.

Exit interview conducted and report was reviewed with program coordinator, Michelle Amaral.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 05-CC-20230327104807
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: SKYLINE COLLEGE CDC
FACILITY NUMBER: 414000216
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/24/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/23/2023
Section Cited
CCR
101223(a)(1)
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101223 Personal Rights (a)(1) The licensee shall ensure that each child is...To be accorded dignity in his/her personal relationships with staff and other persons.
This requirement was not met as evidenced by:
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Staff meeting will be conducted to address appropriate interactions with children.

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Based on interviews, a staff member has been observed to yell at a child, has forcibly sat a child down to eat lunch, and has placed their arm over a child to lay down and sleep. At least one staff member has had an inappropriate interaction with a child in care. This poses a potential health, safety, or personal rights risk to children in care.
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Meeting agenda, topics discussed, staff attendance and signatures, will be sent to LPA no later than 06/23/2023 by 5:00pm.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3