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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414004936
Report Date: 07/19/2023
Date Signed: 07/19/2023 01:45:25 PM

Unsubstantiated


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
07/10/2023 and conducted by Evaluator Jennifer Yee
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20230710091236
FACILITY NAME:HUANG, QIHUAFACILITY NUMBER:
414004936
ADMINISTRATOR:QIHUA HUANGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 718-9121
CITY:MILLBRAESTATE: CAZIP CODE:
94030
CAPACITY:14CENSUS: 9DATE:
07/19/2023
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Qihua HuangTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Licensee did not supervise children in outdoor play area
Day care child put foreign objects in their mouth due to a lack of supervision
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Yee completed the above complaint investigation. LPA Yee interviewed the licensee, obtained the facility's roster, and observed the daycare from outside. The reporting party is not available to interview. Today, LPA observed the licensee and the helper supervising the children during the outdoor play time. As far as a child putting foreign objects in their mouth, the licensee said the children tend to do that but, the staff remove the objects from their mouth immediately. Based on the information obtained, it cannot be proven or disproven regarding the above allegations.

Although the 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 allegations are "unsubstantiated".

This report is reviewed with Licensee and a copy of this report must be made available for public review upon request.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jennifer Yee
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2023
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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