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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414004681
Report Date: 04/09/2024
Date Signed: 04/09/2024 02:20:17 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 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
02/23/2024 and conducted by Evaluator Winnie Ly
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20240223084501
FACILITY NAME:BUILDING KIDZFACILITY NUMBER:
414004681
ADMINISTRATOR:FRANCIS, SOPHINFACILITY TYPE:
850
ADDRESS:1496 ADOBE DRIVETELEPHONE:
(650) 735-5249
CITY:PACIFICASTATE: CAZIP CODE:
94044
CAPACITY:72CENSUS: 41DATE:
04/09/2024
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Sophin FrancisTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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9
Staff do not ensure toilets are kept in good repair
Staff do not keep the facility free of odor
INVESTIGATION FINDINGS:
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On April 9, 2024, Licensing Program Analysts (LPAs) Ly and Gil, arrived at the facility unannounced to close the complaint investigation into the above allegations and met with Director Sophin Francis. There are 41 children in attendance today with the present of 8 staff including the Director.

Based on information obtained during the course of this investigation through interviews and observation, it is determined that allegations Staff do not ensure toilets are kept in good repair and Staff do not keep the facility free of odor did occurred. The preponderance of evidence standards has been met, therefore, the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1, Type B deficiencies are being cited on the attached LIC9099D.

A copy of this report and appeal rights were discussed and left with Director whose signature on this form confirm receipt of the report. Notice of Site Visit was provided. Notice to remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Winnie Ly
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2024
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-20240223084501
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: BUILDING KIDZ
FACILITY NUMBER: 414004681
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/09/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/23/2024
Section Cited
CCR
101238(a)
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101238 Buildings and Grounds (a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement is not met evidence by:
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Since LPA's visit on April 18, 2024, facility have fixed the toilets.
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Based on LPA observation on April 18, 2024, two toilets were in good repair and plastic bags were covered to prevent children from using. This poses a potential health and safety risk to children in care
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During today's visit, LPA observed toilets are fixed. LPA tested flushing all the toilets and toilets are in good repair.

Type B
04/23/2024
Section Cited
CCR
101223(a)(2)
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101223 Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights:(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by:
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Director agrees to open up windows as weather permit. Director agrees to have some air purifier in place.
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Based on LPA's observations, licensee did not comply with this regulation in that the facility had what seemed have a strong unpleasant ordor. This poses a potential health and safety risk to children in care.
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Pictures of corrections will be submitted to the department by due date 04/23/2024.
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: Garfield Leung
LICENSING EVALUATOR NAME: Winnie Ly
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2