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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414001650
Report Date: 01/09/2023
Date Signed: 01/09/2023 09:53:13 AM

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
11/14/2022 and conducted by Evaluator Leslit Tapia-Mandujano
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20221114161004
FACILITY NAME:MARIN DAY SCHOOL-OUR PLACE, SMC EMP CCC (INFANT)FACILITY NUMBER:
414001650
ADMINISTRATOR:FERRY, LEAHFACILITY TYPE:
830
ADDRESS:403 WINSLOW STREETTELEPHONE:
(650) 363-4939
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94063
CAPACITY:28CENSUS: 11DATE:
01/09/2023
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Director, Jennifer Silva TIME COMPLETED:
10:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Day-care child sustained injuries while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 01/09/2023, Licensing Program Analyst (LPA) Tapia-Mandujano conducted an unannounced inspection and met with Director, Jennifer Silva. Purpose of the inspection was explained, and it was to report the investigations finding for above allegations. Complaint was received by the Department on 11/14/22. Present in the facility are Director and seven staff caring for a total 11 infant children. LPA and Director inspected the facility for health and safety hazards.

During the course of the investigation, interviews were conducted with staff and parents, and pertinent documents were received. Based on evidence received, LPA cannot determine if a day care child sustained injuries while in care.

Although the allegation 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 allegations are closed as UNSUBSTANTIATED.

After today’s visit, an exit interview was conducted with Director, Jennifer Silva. A copy of this report was reviewed and provided to Director.

Upon receipt of this report, Facility 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.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2023
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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