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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414002868
Report Date: 11/29/2023
Date Signed: 11/29/2023 03:24:11 PM

Substantiated


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
11/20/2023 and conducted by Evaluator Catrina Quimbo
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20231120130151
FACILITY NAME:SISTER CLAIRE'S PRESCHOOLFACILITY NUMBER:
414002868
ADMINISTRATOR:MARIA JULIE PICARDALFACILITY TYPE:
850
ADDRESS:7 ELMWOOD DRIVETELEPHONE:
(650) 756-4916
CITY:DALY CITYSTATE: CAZIP CODE:
94015
CAPACITY:58CENSUS: 26DATE:
11/29/2023
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Julia PicardalTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Day care child was allowed to leave the facility unassisted.
INVESTIGATION FINDINGS:
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T1= Teacher 1; C1=Child 1

On November 29, 2023 at approximately 1:30pm, Licensing Program Analysts (LPAs) Catrina Quimbo and Yasha Nasiripour, conducted an unnannounced Complaint visit to Sister Claire’s Preschool. LPAs met with director, Julia Picardal, and explained the purpose of the visit.

Preschool program operates in 3 classrooms: Owls A (4 year olds), Owls B (4 year olds), and Caterpillars (3 year olds). Present during visit included 6 teaching staff (including director) and 27 preschool children. Facility is operating within capacity limits and ratio on date of LPAs visit.

On October 27, 2023 at approximately 3:03pm, T1 and 7 enrolled children were in Owls A classroom. During parent pick up time, T1 opened Owls A classroom door to dismiss a child. Without a staff member, C1 exited Owls A classroom and ran down alley, towards preschool stairs. C1 was left alone and unsupervised by staff. Director found C1 on preschool stairs and brought C1 back to Owls A classroom without any injuries. Per director, entire incident was approximately 5 minutes.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 11/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/29/2023
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-20231120130151
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: SISTER CLAIRE'S PRESCHOOL
FACILITY NUMBER: 414002868
VISIT DATE: 11/29/2023
NARRATIVE
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(Continued, Page 2...)
Director conducted an informal staff meeting to reinforce importance of the supervision of children. Staff in Owls B classroom received counselling by elementary school principal. Per director, enrolled children, families of children and staff were reminded of program’s pick up procedures and policies. Director has placed signs on all gates, reminding individuals to close all gates to preschool program.

Based on observation, interview and record review 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 are being cited. Please refer to 9099D for more information.

Director to provide LPA with electronic copies of child care roster, employee handbook and video footage of incident by 11/30/2023. During today's visit, director provided LPA with copy of incident report of incident.

LPA Quimbo informed director, Julie Picardal, that this report 11/29/2023 documents one Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Quimbo informed the director to provide a copy of this licensing report dated 11/29/2023 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

A notice of site visit was provided and must remain posted for 30 days. A plan of correction and appeal rights were provided to director.

Exit interview conducted and report was reviewed with director, Julie Picardal.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 11/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/29/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 05-CC-20231120130151
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: SISTER CLAIRE'S PRESCHOOL
FACILITY NUMBER: 414002868
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/29/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/29/2023
Section Cited
CCR
101229(a)(1)
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101229 Responsibility for Providing Care and Supervision (a)(1) No child(ren) shall be left without the supervision of a teacher at any time.
This requirement was not met as evidenced by:
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Director conducted an informal staff meeting to reinforce importance of the supervision of children. Staff in Owls B classroom received counselling by elementary school principal. Per director, enrolled children, families of children and staff were reminded of program’s pick up procedures and policies.
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Based on observation, record review and interviews which were conducted, C1 ran out of classroom without a staff member. C1 was left unattended and unsupervised by staff.
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Director has placed signs on all gates, reminding individuals to close all gates to preschool program.

Office meeting to be conducted at a later date.
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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: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 11/29/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/29/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3