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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414001790
Report Date: 10/01/2025
Date Signed: 10/01/2025 12:53:19 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
07/30/2025 and conducted by Evaluator Leslit Tapia-Mandujano
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20250730130011
FACILITY NAME:IHSD, INC-MAGNOLIA CHILD DEVELOPMENT CENTERFACILITY NUMBER:
414001790
ADMINISTRATOR:ANORVE, IRMAFACILITY TYPE:
850
ADDRESS:1425 BAY ROADTELEPHONE:
(650) 323-1443
CITY:EAST PALO ALTOSTATE: CAZIP CODE:
94303
CAPACITY:60CENSUS: 53DATE:
10/01/2025
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Site Director, Irma AnorveTIME COMPLETED:
01:10 PM
ALLEGATION(S):
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Staff did not follow modified diet prescribed by the child's physician
Staff did not ensure child was provided a sufficient quantity of food
INVESTIGATION FINDINGS:
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On October 1st, 2025, at approximately 9:45am, Licensing Program Analyst (LPA) Tapia-Mandujano conducted an unannounced compliant investigation inspection. LPA met with Site Supervisor, Irma Anorve and explained the purpose of the inspection. Purpose of the inspection was to interview staff and deliver the findings of the complaint investigation.

Present in the facility during inspection were Site Director and 8 staff supervising 53 preschool age children. LPA verified through Guardian roster that all adults have fingerprint clearance and are associated to the facility.

During today’s inspection, LPA interviewed one additional staff and inspected the facility for Health and Safety Hazards.


Continued on Page 2...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2025
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 2
Control Number 05-CC-20250730130011
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: IHSD, INC-MAGNOLIA CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 414001790
VISIT DATE: 10/01/2025
NARRATIVE
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During the course of the investigation, LPA conducted interviews with staff and involved parties, received pertinent documentation, reviewed children’s files, and conducted classroom observations. Based on the information gathered through interviews, documents, and observations, there is not enough information to prove: Staff did not follow modified diet prescribed by the child's physician and Staff did not ensure child was provided a sufficient quantity of food.

Although the allegation above 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 above allegations are UNSUBSTANTIATED.

Notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Site Supervisor, Irma Anorve. Appeal rights were provided during visit. This report is public and can be reviewed.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2