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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414004584
Report Date: 11/06/2025
Date Signed: 11/06/2025 05:01:28 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
08/11/2025 and conducted by Evaluator Maria Olguin-Leon
COMPLAINT CONTROL NUMBER: 05-CC-20250811124514
FACILITY NAME:CARDENAS, EDELMIRAFACILITY NUMBER:
414004584
ADMINISTRATOR:CARDENAS, EDELMIRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 305-9477
CITY:ATHERTONSTATE: CAZIP CODE:
94027
CAPACITY:14CENSUS: 7DATE:
11/06/2025
UNANNOUNCEDTIME BEGAN:
10:18 AM
MET WITH:Edelmira CardenasTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Licensee restrained day care children
INVESTIGATION FINDINGS:
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On November 6, 2025, at approximately 10:30am, Licensing Program Analyst (LPAs) Maria Olguin-Leon and Leslit Tapia-Mandujano conducted an unannounced complaint investigation to deliver the findings of the above allegation. LPAs met with licensee, Edelmira Cardenas. Present during the inspection was licensee and assistant caring for 7 children (4 infants & 3 preschool age). Facility is operating within capacity of staff/child ratios. All adults present are fingerprint cleared and associated to the facility.

During the course of the investigation, LPA conducted interviews and reviewed pertinent information and conducted observations. Based on information gathered the allegation, Licensee restrained day care children, was determined to be SUBSTANTIATED.

A type “A” violation was issued today in accordance to the California Code of Regulations, Title 22, Division 12. Please refer to 9099D for more information.

Cont. page 2…
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2025
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 4
Control Number 05-CC-20250811124514
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: CARDENAS, EDELMIRA
FACILITY NUMBER: 414004584
VISIT DATE: 11/06/2025
NARRATIVE
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LPAs Maria Olguin-Leon and Leslit Tapia-Mandujano informed Licensee, Edelmira Cardenas, that this report dated November 6, 2025, documents one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPAs Maria Olguin-Leon and Leslit Tapia-Mandujano informed Licensee, Edelmira Cardenas, to provide a copy of this licensing report dated November 6, 2025 that documents any Type A citation 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.

Notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Office visit to be scheduled.

Exit interview conducted and report was reviewed with Licensee, Edelmira Cardenas. Appeal rights were provided. This report is public and can be reviewed.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
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
08/11/2025 and conducted by Evaluator Maria Olguin-Leon
COMPLAINT CONTROL NUMBER: 05-CC-20250811124514

FACILITY NAME:CARDENAS, EDELMIRAFACILITY NUMBER:
414004584
ADMINISTRATOR:CARDENAS, EDELMIRAFACILITY TYPE:
810
ADDRESS:41 SNOWDEN AVENUETELEPHONE:
(650) 305-9477
CITY:ATHERTONSTATE: CAZIP CODE:
94027
CAPACITY:14CENSUS: 7DATE:
11/06/2025
UNANNOUNCEDTIME BEGAN:
10:18 AM
MET WITH:Edelmira CardenasTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Licensee locked children in a room as a form of discipline
Licensee yells at day care children
Licensee placed infant in an unsafe environment
Licensee placed dangerous chemicals within reach of day care children
Licensee operated over capacity
INVESTIGATION FINDINGS:
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On November 6, 2025, at approximately 10:30am, Licensing Program Analyst (LPAs) Maria Olguin-Leon and Leslit Tapia-Mandujano conducted an unannounced complaint investigation to deliver the findings of the above allegation. LPAs met with licensee, Edelmira Cardenas. Present during the inspection was licensee and assistant caring for 7 children (4 infants & 3 preschool age). Facility is operating within capacity of staff/child ratios. All adults present are fingerprint cleared and associated to the facility.

During the course of the investigation, LPA conducted interviews and reviewed pertinent information and conducted observations. Based on information gathered there is not sufficient evidence to prove the allegations: Licensee locked children in a room as a form of discipline, Licensee yells at day care children, Licensee placed infant in an unsafe environment, Licensee placed dangerous chemicals within reach of day care children and Licensee operated over capacity.

Although the above allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore, the above allegations are UNSUBSTANTIATED

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Licensee, Edelmira Cardenas. Appeal rights were provided. This report is public and can be reviewed.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 05-CC-20250811124514
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: CARDENAS, EDELMIRA
FACILITY NUMBER: 414004584
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/06/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
11/06/2025
Section Cited
CCR
102423(a)(4)
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102423 Personal Rights(a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee... These rights include, but are not limited to, the following:
(4) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature...

This requirement was not met as evidenced by:
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LPA's printed personal rights regulations for licensee and explained regulations regarding children's personal rights.
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Based on observation and record review gathered during complaint investigation, the licensee did not comply with section cited above, as LPA received evidence that licensee restrained day care children, which poses an immediate health, safety or personal rights risk to persons in care.


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Licensee must review regulations and submit a written letter acknowledging that she has reviewed the regulations and her plan to ensure that children are provided personal rights.
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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: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4