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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414000839
Report Date: 12/16/2025
Date Signed: 12/16/2025 04:12:28 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
10/01/2025 and conducted by Evaluator Ruhi Wadhwa
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20251001102051
FACILITY NAME:CHAMPIONS-JOHN MUIR ELEMENTARY (SA)FACILITY NUMBER:
414000839
ADMINISTRATOR:TREVISAN, NOELFACILITY TYPE:
840
ADDRESS:130 CAMBRIDGE LANETELEPHONE:
(650) 797-4310
CITY:SAN BRUNOSTATE: CAZIP CODE:
94066
CAPACITY:120CENSUS: 69DATE:
12/16/2025
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Gesmyne BellTIME COMPLETED:
04:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff handles minors in a rough manner.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 12/16/2025 at 1:45 PM, Licensing Program Analysts (LPAs) Wadhwa and Ly conducted unannounced complaint inspection. LPAs met with Area Manager, Gesmyne Bell explained the purpose of the visit. Present during today's inspection were 7 staff, and 69 school-age children. Facility was inspected for health and safety hazards.

LPAs have previously duly investigated similar allegations and concerns during previous complaint investigation visits conducted on 5/21/2025, 5/23/2025, 6/09/2025, 6/19/2025, 7/07/2025 and 8/04/2025, 10/03/2025, 10/27/2025 and found them to be unsubstantiated.

Based on interviews, record review and observations conducted today and in previous instances mentioned above the allegation "Staff handles minors in a rough manner." is unsubstantiated, meaning it may have happened or is valid, there is no preponderance of evidence to prove the violations did or did not occur.

Exit interview conducted and report was reviewed with Area Manager, Gesmyne Bell.
A copy of the report was given to the Area Manager along with a Notice of Site Visit, that must remain posted for 30 days.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Ruhi Wadhwa
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
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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