414001585-3-16-2022-05-CC-GLEG-CCLQLU-20220317121631

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 414001585
Report Date: 03/16/2022
Date Signed: 03/16/2022 03:21:31 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
12/21/2021 and conducted by Evaluator April Cowan

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20211221151144

FACILITY NAME:	CITY OF PACIFICA-CABRILLO CHILDREN'S CTR.-SCH AGE		FACILITY NUMBER:	414001585
ADMINISTRATOR:	LISA MENCONI		FACILITY TYPE:	840
ADDRESS:	601 CRESPI DR., PORT. 1, 2,&3		TELEPHONE:	(650) 738-9251
CITY:	PACIFICA	STATE: CA	ZIP CODE:	94044
CAPACITY:	108	CENSUS: 62	DATE:	03/16/2022
		UNANNOUNCED	TIME BEGAN:	01:25 PM
MET WITH:	Marina Yakubovich		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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- Staff inappropriately grabbed a daycare child while in care
- Staff pinched a daycare child while in care

INVESTIGATION FINDINGS:

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On March 16, 20222 at 1:25 PM, Licensing Program Analyst (LPA) met with site director, Marina Yakubovich, for an unannounced subsequent complaint inspection. The purpose of inspection was explained to director, and the purpose is to deliver findings. Present in the facility is site director, 5 staff caring for 62 children.

During the course of investigation, interviews were conducted with site director, staff members, children in care, and parents. There has been no witness to corroborate the allegations. 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.

Copy of this report was reviewed and will be emailed to the director, Marina Yakubovich at myakubovich@pacifica.gov by the close of business on 3/16/22. Confirmation of receipt is required. Signed copy of this report will be stored in the facility file.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: April Cowan
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2022

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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