414005173-3-18-2026-05-CC-MROZ-DSYUHN-20260409153610

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 414005173
Report Date: 03/18/2026
Date Signed: 03/18/2026 12:08:38 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
01/15/2026 and conducted by Evaluator Leslit Tapia-Mandujano

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20260115151520

FACILITY NAME:	LEARN AND PLAY MONTESSORI SAN CARLOS		FACILITY NUMBER:	414005173
ADMINISTRATOR:	KORESSA DEVON XUEREB		FACILITY TYPE:	860
ADDRESS:	510 LAUREL STREET		TELEPHONE:	(510) 916-1503
CITY:	SAN CARLOS	STATE: CA	ZIP CODE:	94070
CAPACITY:	118	CENSUS: 48	DATE:	03/18/2026
		UNANNOUNCED	TIME BEGAN:	09:25 AM
MET WITH:	Director, Koressa Xuereb		TIME COMPLETED:	12:25 PM

ALLEGATION(S):

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Staff yelled at daycare child.

INVESTIGATION FINDINGS:

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Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE:	DATE: 03/18/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2026

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

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
01/15/2026 and conducted by Evaluator Leslit Tapia-Mandujano

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20260115151520

FACILITY NAME:	LEARN AND PLAY MONTESSORI SAN CARLOS		FACILITY NUMBER:	414005173
ADMINISTRATOR:	KORESSA DEVON XUEREB		FACILITY TYPE:	860
ADDRESS:	510 LAUREL STREET		TELEPHONE:	(510) 916-1503
CITY:	SAN CARLOS	STATE: CA	ZIP CODE:	94070
CAPACITY:	60	CENSUS: 48	DATE:	03/18/2026
		UNANNOUNCED	TIME BEGAN:	09:25 AM
MET WITH:	Director, Koressa Xuereb		TIME COMPLETED:	12:25 PM

ALLEGATION(S):

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9

Staff hit daycare child.

INVESTIGATION FINDINGS:

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On March 18, 2026 at approximately 9:25am, Licensing Program Analyst (LPA) Tapia-Mandujano conducted an unannounced compliant investigation inspection. LPA met with Director, Koressa Xuereb. LPA explained the purpose of the inspection. Present during inspection are Director and 9 staff supervising a total of 48 preschool age children. All staff present are fingerprint cleared and associated, LPA verified is through the Guardian Roster. During today’s inspection each classroom met the teacher to child ratio.

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

During the course of the investigation, LPA conducted interviews and received pertinent documentation. Based on interviews and information that was gathered, LPA determined that there is insufficient evidence to state that the allegation of “staff hit daycare child” has happened.

Although the allegation above may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore, the above allegation is UNSUBSTANTIATED.

Notice of site visit was given and must remain posted for 30 days. Failure to maintain postings as required will result in an immediate $100 civil penalty.

Exit interview conducted and report was reviewed with Director, Koressa Xuereb. Appeal rights were provided during visit. This report is public and can be reviewed.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE:	DATE: 03/18/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 05-CC-20260115151520

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: LEARN AND PLAY MONTESSORI SAN CARLOS	FACILITY NUMBER: 414005173
	VISIT DATE: 03/18/2026

NARRATIVE

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Based on the information received, 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.

Notice of site visit was given and must remain posted for 30 days. Failure to maintain postings as required will result in an immediate $100 civil penalty.

Exit interview conducted and report was reviewed with Director, Koressa Xuereb. 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: 03/18/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2026

LIC9099 (FAS) - (06/04)

Page: 4 of 4

Control Number 05-CC-20260115151520

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: LEARN AND PLAY MONTESSORI SAN CARLOS	FACILITY NUMBER: 414005173
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/18/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 04/17/2026 Section Cited CCR 101223(a)(3)	1 2 3 4 5 6 7	101223: Personal Rights: "(a) The licensee shall ensure that each child is accorded the following personal rights... (3)To be free from corporal or unusual punishment..." This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Facility will conduct a staff meeting that will include strategies to speak to children in an apporpriate manner that will include role playing.
	8 9 10 11 12 13 14	Based on interviews conducted, the facility did not comply with the section cited above as there is sufficient evidence that the allegation of staff yelled at daycare child has occured. This poses a potential health, safety or personal rights risk to persons in care.	8 9 10 11 12 13 14	Facility will submit the agenda of the staff meeting that will include the staff acknowledging that the staff meeting occured. Agenda with staff acknowledgment will be emailed to LPA Tapia-Mandujano by April 17th, 2026
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE:	DATE: 03/18/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 4